Pyridine and pyrimidine derivatives as inhibitors of histone deacetylase

ABSTRACT

This invention comprises the novel compounds of formula (I) 
                         
wherein R 1 , R 2 , R 3  and X have defined meanings, having histone deacetylase inhibiting enzymatic activity; their preparation, compositions containing them and their use as a medicine.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a Divisional of U.S. patent application Ser. No. 12/160,124, filed Jul. 7, 2008, which is the National Stage under 35 U.S.C. §371 of PCT Application No. PCT/EP2007/050371, filed Jan. 16, 2007, which claims priority from European Patent Application No. 06100570.8, filed Jan. 19, 2006, all of which are incorporated by reference in their entirety.

This invention concerns compounds having histone deacetylase (HDAC) inhibiting enzymatic activity. It further relates to processes for their preparation, to compositions comprising them, as well as their use, both in vitro and in vivo, to inhibit HDAC and as a medicine, for instance as a medicine to inhibit proliferative conditions, such as cancer and psoriasis.

Nuclear histones are known as integral and dynamic components of the machinery responsible for regulating gene transcription and other DNA-templated processes such as replication, repair, recombination, and chromosome segregation. They are the subject of post-translational modifications including acetylation, phosphorylation, methylation, ubiquitination, and ADP-ribosylation.

Histone deacetylase(s), herein referred to as “HDACs”, are enzymes that catalyze the removal of the acetyl modification on lysine residues of proteins, including the core nucleosomal histones H2A, H2B, H3 and H4. Together with histone acetyltransferase(s), herein referred to as “HATs”, HDACs regulate the level of acetylation of the histones. The balance of acetylation of nucleosomal histones plays an important role in transcription of many genes. Hypoacetylation of histones is associated with condensed chromatin structure resulting in the repression of gene transcription, whereas acetylated histones are associated with a more open chromatin structure and activation of transcription.

Eleven structurally related HDACs have been described and fall into two classes. Class I HDACs consist of HDAC 1, 2, 3, 8 and 11 whereas class II HDACs consist of HDAC 4, 5, 6, 7, 9 and 10. Members of a third class of HDACs are structurally unrelated to the class I and class II HDACs. Class I/II HDACs operate by zinc-dependent mechanisms, whereas class III HDACs are NAD-dependent.

In addition to histones, other proteins have also been the substrate for acetylation, in particular transcription factors such as p53, GATA-1 and E2F; nuclear receptors such as the glucocorticoid receptor, the thyroid receptors, the estrogen receptors; and cell-cycle regulating proteins such as pRb. Acetylation of proteins has been linked with protein stabilization, such as p53 stabilization, recruitment of cofactors and increased DNA binding. p53 is a tumour suppressor that can induce cell cycle arrest or apoptosis in response to a variety of stress signals, such as DNA damage. The main target for p53-induced cell cycle arrest seems to be the p21 gene. Next to its activation by p53, p21 has been identified by virtue of its association with cyclin/cyclin-dependent kinase complexes resulting in cell cycle arrest at both G1 and G2 phases, its up-regulation during senescence, and its interaction with the proliferating cell nuclear antigen.

The study of inhibitors of HDACs indicates that they play an important role in cell cycle arrest, cellular differentiation, apoptosis and reversal of transformed phenotypes.

The inhibitor Trichostatin A (TSA), for example, causes cell cycle arrest at both G1 and G2 phases, reverts the transformed phenotype of different cell lines, and induces differentiation of Friend leukemia cells and others. TSA (and suberoylanilide hydroxamic acid SAHA) have been reported to inhibit cell growth, induce terminal differentiation, and prevent the formation of tumours in mice (Finnin et al., Nature, 401: 188-193, 1999).

Trichostatin A has also been reported to be useful in the treatment of fibrosis, e.g. liver fibrosis and liver cirrhosis (Geerts et al., European Patent Application EP 0 827 742, published 11 Mar. 1998).

The pharmacophore for HDAC inhibitors consists of a metal-binding domain, which interacts with the zinc-containing active site of HDACs, a linker domain, and a surface recognition domain or capping region, which interacts with residues on the rim of the active site.

Inhibitors of HDACs have also been reported to induce p21 gene expression. The transcriptional activation of the p21 gene by these inhibitors is promoted by chromatin remodelling, following acetylation of histones H3 and H4 in the p21 promotor region. This activation of p21 occurs in a p53-independent fashion and thus HDAC inhibitors are operative in cells with mutated p53 genes, a hallmark of numerous tumours.

In addition HDAC inhibitors can have indirect activities such as augmentation of the host immune response and inhibition of tumour angiogenesis and thus can suppress the growth of primary tumours and impede metastasis (Mai et al., Medicinal Research Reviews, 25: 261-309, 2005).

In view of the above, HDAC inhibitors can have great potential in the treatment of cell proliferative diseases or conditions, including tumours with mutated p53 genes.

Patent application EP1472216 published on Aug. 14, 2003 discloses bicyclic hydroxamates as inhibitors of histone deacetylase.

Patent applications EP1485099, EP1485348, EP1485353, EP1485354, EP1485364, EP1485365, EP1485370, EP1485378 published on 18 Sep. 2003, amongst others, disclose substituted piperazinylpyrimidinylhydroxamic acids as inhibitors of histone deacetylase furthermore EP1485365 discloses R306465.

Patent application EP1492534 published on 9 Oct. 2003, discloses carbamic acid compounds comprising a piperazine linkage, as HDAC inhibitors. Patent application EP1495002 published on 23 Oct. 2003, disclose substituted piperazinyl phenyl benzamide compounds, as histone deacetylase inhibitors.

Patent application EP1501508 published on 13 Nov. 2003, discloses benzamides as histone deacetylase inhibitors.

Patent application WO04/009536 published on 29 Jan. 2004, discloses derivatives containing an alkyl linker between the aryl group and the hydroxamate, as histone deacetylase inhibitors.

Patent application EP1525199 published on 12 Feb. 2004, discloses (hetero)arylalkenyl substituted bicyclic hydroxamates, as histone deacetylase inhibitors.

Patent application EP1572626 published on 24 Jun. 2004, discloses arylene-carboxylic acid (2-amino-phenyl)-amide derivatives as pharmacological agents.

Patent application EP1581484 published on 29 Jul. 2004, discloses derivatives of N-hydroxy-benzamide derivatives with anti-inflammatory and antitumour activity.

Patent application EP1585735 published on 29 Jul. 2004, discloses substituted aryl hydroxamate derivatives as histone deacetylase inhibitors.

Patent application EP1592667 published on 19 Aug. 2004, discloses mono-acylated O-phenylenediamines derivatives as pharmacological agents.

Patent application EP1590340 published on 19 Aug. 2004, discloses diaminophenylene derivatives as histone deacetylase inhibitors.

Patent application EP1592665 published on 26 Aug. 2004, discloses benzamide derivatives as histone deacetylase inhibitors.

Patent application WO04/072047 published on 26 Aug. 2004, discloses indoles, benzimidazoles and naphhimidazoles as histone deacetylase inhibitors.

Patent application EP1608628 published on 30 Sep. 2004, discloses hydroxamates linked to non-aromatic heterocyclic ring systems as histone deacetylase inhibitors.

Patent application EP1613622 published on 14 Oct. 2004, discloses oxime derivatives as histone deacetylase inhibitors.

Patent application EP1611088 published on 28 Oct. 2004, discloses hydroxamate derivatives as histone deacetylase inhibitors.

Patent application WO05/028447 published on 31 Mar. 2005, discloses benzimidazoles as histone deacetylase inhibitors.

Patent applications WO05/030704 and WO05/030705 published on 7 Apr. 2005, discloses benzamides as histone deacetylase inhibitors.

Patent application WO05/040101 published on 6 May 2005, discloses acylurea connected and sulfonylurea connected hydroxamates as histone deacetylase inhibitors.

Patent application WO05/040161 also published on 6 May 2005, discloses biaryl linked hydroxamates as histone deacetylase inhibitors.

Patent application WO05/075469 published on 18 Aug. 2005, discloses thiazolyl hydroxamic acids and thiadiazolyl hydroxamic acids as histone deacetylase inhibitors.

Patent application WO05/086898 published on 22 Sep. 2005, discloses heteropentacyclic hydroxamic acids as histone deacetylase inhibitors.

Patent application WO05/092899 published on 6 Oct. 2005, discloses alkenylbenzamides as histone deacetylases. The compounds of the present invention differ from the prior art in structure, in their pharmacological activity and/or pharmacological potency.

The problem to be solved is to provide histone deacetylase inhibitors with high enzymatic and cellular activity that have increased bioavailability and/or in vivo potency.

The novel compounds of the present invention solve the above-described problem. Compounds of the present invention may show excellent histone deacetylase inhibiting enzymatic and cellular activity. Also compounds may have a high capacity to activate the p21 gene, both at the cellular and the in vivo level. They can have a desirable pharmacokinetic profile and low affinity for the P450 enzymes, which reduces the risk of adverse drug-drug interaction allowing also for a wider safety margin.

Advantageous features of the present compounds are metabolic stability, and/or p21 induction capacity. More in particular compounds of the present invention have increased stability in human liver microsomes, and/or have enhanced in vivo p21 promoter inducing capacities.

This invention concerns compounds of formula (I):

the N-oxide forms, the pharmaceutically acceptable addition salts and the stereo-chemically isomeric forms thereof, wherein X is N or CH; R¹ is hydroxy or a radical of formula (a-1)

-   -   wherein     -   R⁴ is hydroxy or amino;     -   R⁵ is hydrogen, thienyl, furanyl or phenyl and each thienyl,         furanyl or phenyl is optionally substituted with one or two         halo, amino, nitro, cyano, hydroxy, phenyl, C₁₋₆alkyl,         (diC₁₋₆alkyl)amino, C₁₋₆alkyloxy, phenylC₁₋₆alkyloxy,         hydroxyC₁₋₆alkyl, C₁₋₆alkyloxycarbonyl, hydroxycarbonyl,         C₁₋₆alkylcarbonyl, polyhaloC₁₋₆alkyloxy, polyhaloC₁₋₆alkyl,         C₁₋₆alkylsulfonyl, hydroxycarbonylC₁₋₆alkyl,         C₁₋₆alkylcarbonylamino, aminosulfonyl, aminosulfonylC₁₋₆alkyl,         isoxazolyl, aminocarbonyl, phenylC₂₋₆alkenyl, phenylC₃₋₆alkynyl         or pyridinylC₃₋₆alkynyl;     -   R⁶, R⁷ and R⁸ are each independently hydrogen, amino, nitro,         furanyl, halo, C₁₋₆alkyl, C₁₋₆alkyloxy, trifluoromethyl,         thienyl, phenyl, C₁₋₆alkylcarbonylamino, aminocarbonylC₁₋₆alkyl         or —C≡C—CH₂—R⁹;     -   wherein R⁹ is hydrogen, C₁₋₆alkyl, hydroxy, amino or         C₁₋₆alkyloxy;         R² is amino, C₁₋₆alkylamino, arylC₁₋₆alkylamino,         C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino,         C₃₋₇cycloalkylamino, C₃₋₇cycloalkylC₁₋₆alkylamino, glutarimidyl,         maleimidyl, phthalimidyl, succinimidyl, hydroxy, C₁₋₆alkyloxy,         phenyloxy wherein the phenyl moiety in said phenyloxy group is         optionally substituted with one or two substituents each         independently selected from halo, C₁₋₆alkyl, C₁₋₆alkyloxy,         cyano, C₁₋₆alkyloxycarbonyl and trifluoromethyl;         R³ is phenyl, naphthalenyl or heterocyclyl; wherein         each of said phenyl or naphthalenyl groups is optionally         substituted with one or two substituents each independently         selected from halo, C₁₋₆alkyl, C₁₋₆alkyloxy, polyhaloC₁₋₆alkyl,         aryl, hydroxy, cyano, amino, C₁₋₆alkylcarbonylamino,         C₁₋₆alkylsulfonylamino, hydroxycarbonyl, C₁₋₆alkyloxycarbonyl,         hydroxyC₁₋₆alkyl, C₁₋₆alkyloxymethyl, aminomethyl,         C₁₋₆alkylaminomethyl, C₁₋₆alkylcarbonylaminomethyl,         C₁₋₆alkylsulfonylaminomethyl, aminosulfonyl,         C₁₋₆alkylaminosulfonyl and heterocyclyl;     -   aryl is phenyl or naphthalenyl; wherein each of said phenyl or         naphthalenyl groups is optionally substituted with one or two         substituents each independently selected from halo, C₁₋₆alkyl,         C₁₋₆alkyloxy, trifluoromethyl, cyano and hydroxycarbonyl; and     -   heterocyclyl is furanyl, thienyl, pyrrolyl, pyrrolinyl,         pyrrolidinyl, dioxolyl, oxazolyl, thiazolyl, imidazolyl,         imidazolinyl, imidazolidinyl, pyrazolyl, pyrazolinyl,         pyrazolidinyl, isoxazolyl, isothiazolyl, oxadiazolyl, triazolyl,         thiadiazolyl, pyranyl, pyridinyl, piperidinyl, dioxanyl,         morpholinyl, dithianyl, thiomorpholinyl, pyridazinyl,         pyrimidinyl, pyrazinyl, piperazinyl, triazinyl, trithianyl,         indolizinyl, indolyl, indolinyl, benzofuranyl, benzothiophenyl,         indazolyl, benzimidazolyl, benzthiazolyl, purinyl, quinolizinyl,         quinolinyl, cinnolinyl, phthalazinyl, quinazolinyl, quinoxalinyl         or naphthyridinyl; wherein     -   each of said heterocyclyl groups is optionally substituted with         one or two substituents each independently selected from halo,         C₁₋₆alkyl, C₁₋₆alkyloxy, cyano, amino and mono- or         di(C₁₋₄alkyl)amino

The term “histone deacetylase inhibitor” or “inhibitor of histone deacetylase” is used to identify a compound, which is capable of interacting with a histone deacetylase and inhibiting its activity, more particularly its enzymatic activity. Inhibiting histone deacetylase enzymatic activity means reducing the ability of a histone deacetylase to remove an acetyl group from a histone. Preferably, such inhibition is specific, i.e. the histone deacetylase inhibitor reduces the ability of a histone deacetylase to remove an acetyl group from a histone at a concentration that is lower than the concentration of the inhibitor that is required to produce some other, unrelated biological effect.

As used in the foregoing definitions and hereinafter, halo is generic to fluoro, chloro, bromo and iodo; C₁₋₂alkyl straight chain saturated hydrocarbon radicals having 1 or 2 carbon atoms such as, e.g. methyl or ethyl; C₁₋₆alkyl defines C₁₋₂alkyl and straight and branched chain saturated hydrocarbon radicals having from 3 to 6 carbon atoms such as, e.g. propyl, butyl, 1-methylethyl, 2-methylpropyl, pentyl, 2-methyl-butyl, hexyl, 2-methylpentyl and the like; polyhaloC₁₋₆alkyl defines C₁₋₆alkyl containing three identical or different halo substituents for example trifluoromethyl; C₂₋₆alkenyl defines straight and branched chain hydrocarbon radicals containing one double bond and having from 2 to 6 carbon atoms such as, for example, ethenyl, 2-propenyl, 3-butenyl, 2-pentenyl, 3-pentenyl, 3-methyl-2-butenyl, and the like; C₃₋₆alkynyl defines straight and branched chain hydrocarbon radicals containing one triple bond and having from 3 to 6 carbon atoms, such as, for example, 2-propynyl, 3-butynyl, 2-butynyl, 2-pentynyl, 3-pentynyl, 3-hexynyl, and the like; C₃₋₇cycloalkyl includes cyclic hydrocarbon groups having from 3 to 7 carbons, such as cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl, cyclohexenyl, cycloheptyl and the like.

Pharmaceutically acceptable addition salts encompass pharmaceutically acceptable acid addition salts and pharmaceutically acceptable base addition salts. The pharmaceutically acceptable acid addition salts as mentioned hereinabove are meant to comprise the therapeutically active non-toxic acid addition salt forms, which the compounds of formula (I) are able to form. The compounds of formula (I) which have basic properties can be converted in their pharmaceutically acceptable acid addition salts by treating said base form with an appropriate acid. Appropriate acids comprise, for example, inorganic acids such as hydrohalic acids, e.g. hydrochloric or hydrobromic acid; sulfuric; nitric; phosphoric and the like acids; or organic acids such as, for example, acetic, trifluoroacetic, propanoic, hydroxyacetic, lactic, pyruvic, oxalic, malonic, succinic (i.e. butanedioic acid), maleic, fumaric, malic, tartaric, citric, methanesulfonic, ethanesulfonic, benzenesulfonic, p-toluenesulfonic, cyclamic, salicylic, p-amino-salicylic, pamoic and the like acids. The compounds of formula (I) which have acidic properties may be converted in their pharmaceutically acceptable base addition salts by treating said acid form with a suitable organic or inorganic base. Appropriate base salt forms comprise, for example, the ammonium salts, the alkali and earth alkaline metal salts, e.g. the lithium, sodium, potassium, magnesium, calcium salts and the like, salts with organic bases, e.g. the benzathine, N-methyl-D-glucamine, hydrabamine salts, and salts with amino acids such as, for example, arginine, lysine and the like.

The term “acid or base addition salts” also comprises the hydrates and the solvent addition forms, which the compounds of formula (I) are able to form. Examples of such forms are e.g. hydrates, alcoholates and the like.

The term “stereochemically isomeric forms of compounds of formula (I)”, as used herein, defines all possible compounds made up of the same atoms bonded by the same sequence of bonds but having different three-dimensional structures, which are not interchangeable, which the compounds of formula (I) may possess. Unless otherwise mentioned or indicated, the chemical designation of a compound encompasses the mixture of all possible stereochemically isomeric forms, which said compound may possess. Said mixture may contain all diastereomers and/or enantiomers of the basic molecular structure of said compound. All stereochemically isomeric forms of the compounds of formula (I) both in pure form or in admixture with each other are intended to be embraced within the scope of the present invention.

The N-oxide forms of the compounds of formula (I) are meant to comprise those compounds of formula (I) wherein one or several nitrogen atoms are oxidized to the so-called N-oxide, particularly those N-oxides wherein one or more of the piperidine-, piperazine or pyridazinyl-nitrogens are N-oxidized. Some of the compounds of formula (I) may also exist in their tautomeric forms. Such forms although not explicitly indicated in the above formula are intended to be included within the scope of the present invention. Whenever used hereinafter, the term “compounds of formula (I)” is meant to include also the pharmaceutically acceptable addition salts and all stereoisomeric forms. As used herein, the terms “histone deacetylase” and “HDAC” are intended to refer to any one of a family of enzymes that remove acetyl groups from the ε-amino groups of lysine residues at the N-terminus of a histone. Unless otherwise indicated by context, the term “histone” is meant to refer to any histone protein, including H1, H2A, H2B, H3, H4, and H5, from any species. Human HDAC proteins or gene products, include, but are not limited to, HDAC-1, HDAC-2, HDAC-3, HDAC-4, HDAC-5, HDAC-6, HDAC-7, HDAC-8, HDAC-9 HDAC-10 and HDAC-11. The histone deacetylase can also be derived from a protozoal or fungal source.

A first group of interesting compounds consists of those compounds of formula (I) wherein R¹ is hydroxy.

A second group of interesting compounds consists of those compounds of formula (I) wherein R⁵ is other than hydrogen.

A third group of interesting compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply:

-   -   a) X is N;     -   b) R¹ is hydroxy or a radical of formula (a-1) wherein R⁴ is         amino, R⁵ is hydrogen or thienyl, and R⁶, R⁷ and R⁸ are each         hydrogen;     -   c) R² is amino, C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino,         phthalimidyl, succinimidyl or phenyloxy wherein the phenyl         moiety in said phenyloxy group is optionally substituted with a         halo (e.g. fluoro) substituent; and     -   d) R³ is phenyl optionally substituted with one or two         substituents each independently selected from halo, C₁₋₆alkyl,         C₁₋₆alkyloxy and polyhaloC₁₋₆alkyl.

A fourth group of interesting compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply:

-   -   a) X is N;     -   b) R¹ is hydroxy;     -   c) R² is amino, C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino,         phthalimidyl, succinimidyl or phenyloxy wherein the phenyl         moiety in said phenyloxy group is optionally substituted with a         halo (e.g. fluoro) substituent; and     -   d) R³ is phenyl optionally substituted with one or two         substituents each independently selected from halo, C₁₋₆alkyl,         C₁₋₆alkyloxy and polyhaloC₁₋₆alkyl.

A further group of interesting compounds consists of those compounds of formula (I) in which R³ is phenyl or naphthalenyl wherein each of said phenyl or naphthalenyl groups is substituted with one or two substituents each independently selected from halo, C₁₋₆alkyl, C₁₋₆alkyloxy, polyhaloC₁₋₆alkyl, aryl, hydroxy, cyano, amino, C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino, hydroxycarbonyl, C₁₋₆alkyloxycarbonyl, hydroxyC₁₋₆alkyl, C₁₋₆alkyloxymethyl, aminomethyl, C₁₋₆alkylaminomethyl, C₁₋₆alkylcarbonylaminomethyl, C₁₋₆alkylsulfonylaminomethyl, aminosulfonyl, C₁₋₆alkylaminosulfonyl and heterocyclyl.

A group of preferred compounds consists of those compounds of formula (I) wherein one or more of the following restrictions apply:

-   -   a) X is N;     -   b) R¹ is hydroxy;     -   c) R² is amino; and     -   d) R³ is phenyl optionally substituted with one substituent         selected from halo, preferably fluoro, and C₁₋₆alkyloxy         preferably methoxy.

An especially preferred compound of formula (I) is Compound No. 2 referred to below:

The compounds of formula (I), their pharmaceutically acceptable salts and N-oxides and stereochemically isomeric forms thereof may be prepared in conventional manner. The starting materials and some of the intermediates are known compounds and are commercially available or may be prepared according to conventional reaction procedures as generally known in the art or as described in patent applications EP1485099, EP1485348, EP1485353, EP1485354, EP1485364, EP1485365, EP1485370, and EP1485378. Some preparation methods will be described hereinafter in more detail. Other methods for obtaining final compounds of formula (I) are described in the examples.

Specific procedures for the preparation of compounds of formula (I) are described below:

-   a) Hydroxamic acids of formula (I) wherein R¹ is hydroxy, herein     referred to as compounds of formula (I-a) may be prepared by     reacting an intermediate of formula (II) with an appropriate acid,     such as for example, trifluoroacetic acid. Said reaction is     performed in an appropriate solvent, such as, for example, methanol     or dichloromethane.

-   b) Compounds of formula (I) wherein R¹ is a radical of formula     (a-1), herein referred to as compounds of formula (I-b), may be     prepared by reacting an intermediate of formula (III) wherein M     represents hydrogen or an alkali metal for example sodium or     lithium, with an intermediate of formula (IV) in the presence of     appropriate reagents such as for example     benzotriazol-1-yloxytris(pyrrolidino)phosphonium hexafluorophosphate     (PyBOP). The reaction may be performed in the presence of a base     such as triethylamine, in a suitable solvent, such as, a mixture of     dichloromethane and tetrahydrofuran.

Intermediates of formula (II) may be prepared by reacting an intermediate of formula (III) with an intermediate of formula (V) in the presence of appropriate reagents such as N′-(ethylcarbonimidoyl)-N,N-dimethyl-1,3-propanediamine, monohydrochloride (EDC) and 1-hydroxy-1H-benzotriazole (HOBT). The reaction may be performed in the presence of a base such as triethylamine, in a suitable solvent such as a mixture of dichloromethane and tetrahydrofuran.

The compounds of formula (I) may also be converted into each other via art-known reactions or functional group transformations, depending on the sensitivity of other groups in the molecule, for example hydrolysis of carboxylic esters to the corresponding carboxylic acid or alcohol; alcohols may be converted into esters and ethers; primary amines may be converted into secondary or tertiary amines; primary or secondary amines may be converted into amides or sulfonamides; an iodo radical on a phenyl group may be converted in to an ester group by carbon monoxide insertion in the presence of a suitable palladium catalyst.

Intermediates of formula (III) may be prepared by reacting an intermediate of formula (VI) with an appropriate acidic solution, e.g. hydrochloric acid, or an appropriate alkali metal base, e.g. sodium hydroxide, in a suitable solvent e.g. an alcohol such as ethanol or propanol, or THF.

Intermediates of formula (II) wherein R² is amino, herein referred to as intermediates of formula (II-a), may be prepared by reacting the intermediate of formula (VII) with piperidine in a suitable solvent e.g. dichloromethane.

The intermediates of formula (VII) may be prepared by reacting an intermediate of formula (VIII) with an intermediate of formula (V), in the presence of appropriate reagents such as N-(ethylcarbonimidoyl)-N,N-dimethyl-1,3-propanediamine, monohydrochloride (EDC) and 1-hydroxy-1H-benzotriazole (HOBT). The reaction may be performed in the presence of a base such as triethylamine, in a suitable solvent such as a mixture of dichloromethane and tetrahydrofuran.

Intermediates of formula (VIII) may be prepared by reacting an intermediate of formula (VI-b) with sodium hydroxide, in a suitable solvent, such as tetrahydrofuran, followed by neutralization with hydrochloric acid, addition of sodium carbonate and addition of an intermediate of formula (IX).

Intermediates of formula (VI) wherein R² is a C₁₋₆alkylcarbonylamino group may be prepared by reacting an intermediate of formula (VI-b) with an appropriate C₁₋₆ alkyl acylating agent such a halide e.g. a chloride, in the presence of a base such as triethylamine, in a suitable solvent, e.g. dichloromethane.

The novel intermediates of formula (VI) may be prepared by reacting an intermediate of formula (X) with diisopropyl azodicarboxylate (DIAD), tri-n-butylphosphine (PBu₃) and an appropriate nucleophile R²H (XI) in a suitable solvent such dichloromethane.

A compound of formula (VI) in which R² is an optionally substituted phenyloxy group may be prepared by reacting an intermediate of formula (X) with a corresponding optionally substituted phenol compound. A compound of formula (VI) in which R² is a phthalimidyl group may also be prepared by reacting an intermediate of formula (X) with phthalimide. Alternatively, a compound of formula (VI) in which R² is a succinimidyl group may be prepared by reacting an intermediate of formula (X) with succinimide.

The above intermediates of formula (VI-b) may be prepared by (a) reacting an intermediate of formula (X) with diisopropyl azodicarboxylate (DIAD), tri-n-butylphosphine (PBu₃) and phthalimide in a suitable solvent such dichloromethane to form an intermediate of formula (VI-c); and (b) reacting the resulting intermediate of formula (VI-c) with hydrazine monohydrate in a suitable solvent such as ethanol.

Alternatively, intermediates of formula (VI-c) may be prepared by reacting an intermediate of formula (XII) with an appropriate epoxide of formula (XIII) prepared in accordance with the procedure described in Synlett, 2002 (8) 1265-1268, in a suitable solvent such for example THF, to form an intermediate of formula (XIV) which may then be converted into an intermediate of formula (VI-c) upon reaction with diisopropyl azodicarboxylate (DIAD), tri-n-butylphosphine (PBu₃) and phthalimide in a suitable solvent such as dichloromethane.

The novel intermediates of formula (X) can be prepared in a single step by reacting an intermediate of formula (XII) with 1,4-dioxane-2,5-diol and an appropriate boronic acid of formula (XV), wherein R³ is as defined above, in a suitable solvent, e.g. an alcohol, such as ethanol.

Intermediates of formula (XII) may be prepared by reacting an intermediate of formula (XVI) wherein L³ is a leaving group such as an organosulphonyl group for example a methanesulphonyl group, with piperazine (XVII) in the presence of a base such as potassium carbonate, in suitable solvent, e.g. acetonitrile.

The present invention also concerns intermediates of formulae (II), (III), (VI) and (X) above, referred to collectively as compounds of formula (B) in which Q is C₁₋₂alkyloxycarbonyl, MO₂C (in which M is hydrogen or an alkali metal) or tetrahydropyranyloxyaminocarbonyl, R^(2a) is as defined for R² or alternatively is hydroxymethyl and X and R³ are as defined for formula (I), and the N-oxide forms, the pharmaceutically acceptable addition salts and the stereo-chemically isomeric forms thereof.

Groups of interesting, preferred, more preferred and most preferred compounds can be defined for the above intermediates, in accordance with the groups defined for the compounds of formula (I).

The compounds of formula (I) and some of the intermediates may have at least one stereogenic centre in their structure. This stereogenic centre may be present in an R or an S configuration.

The compounds of formula (I) as prepared in the hereinabove described processes are generally racemic mixtures of enantiomers, which can be separated from one another following art-known resolution procedures. The racemic compounds of formula (I) may be converted into the corresponding diastereomeric salt forms by reaction with a suitable chiral acid. Said diastereomeric salt forms are subsequently separated, for example, by selective or fractional crystallization and the enantiomers are liberated there from by alkali. An alternative manner of separating the enantiomeric forms of the compounds of formula (I) involves liquid chromatography using a chiral stationary phase. Said pure stereochemically isomeric forms may also be derived from the corresponding pure stereochemically isomeric forms of the appropriate starting materials, provided that the reaction occurs stereospecifically. Preferably if a specific stereoisomer is desired, said compound would be synthesized by stereospecific methods of preparation. These methods will advantageously employ enantiomerically pure starting materials.

The compounds of formula (I), the pharmaceutically acceptable acid addition salts and stereoisomeric forms thereof have valuable pharmacological properties in that they have a histone deacetylase (HDAC) inhibitory effect.

This invention provides a method for inhibiting the abnormal growth of cells, including transformed cells, by administering an effective amount of a compound of the invention. Abnormal growth of cells refers to cell growth independent of normal regulatory mechanisms (e.g. loss of contact inhibition). This includes the inhibition of tumour growth both directly by causing growth arrest, terminal differentiation and/or apoptosis of cancer cells, and indirectly, by inhibiting neovascularization of tumours.

This invention also provides a method for inhibiting tumour growth by administering an effective amount of a compound of the present invention, to a subject, e.g. a mammal (and more particularly a human) in need of such treatment. In particular, this invention provides a method for inhibiting the growth of tumours by the administration of an effective amount of the compounds of the present invention. Examples of tumours which may be inhibited, but are not limited to, lung cancer (e.g. adenocarcinoma and including non-small cell lung cancer), pancreatic cancers (e.g. pancreatic carcinoma such as, for example exocrine pancreatic carcinoma), colon cancers (e.g. colorectal carcinomas, such as, for example, colon adenocarcinoma and colon adenoma), prostate cancer including the advanced disease, hematopoietic tumours of lymphoid lineage (e.g. acute lymphocytic leukemia, B-cell lymphoma, Burkitt's lymphoma), myeloid leukemias (for example, acute myelogenous leukemia (AML)), thyroid follicular cancer, myelodysplastic syndrome (MDS), tumours of mesenchymal origin (e.g. fibrosarcomas and rhabdomyosarcomas), melanomas, teratocarcinomas, neuroblastomas, gliomas, benign tumour of the skin (e.g. keratoacanthomas), breast carcinoma (e.g. advanced breast cancer), kidney carcinoma, ovary carcinoma, bladder carcinoma and epidermal carcinoma.

The compound according to the invention may be used for other therapeutic purposes, for example:

-   -   a) the sensitisation of tumours to radiotherapy by administering         the compound according to the invention before, during or after         irradiation of the tumour for treating cancer;     -   b) treating arthropathies and osteopathological conditions such         as rheumatoid arthritis, osteoarthritis, juvenile arthritis,         gout, polyarthritis, psoriatic arthritis, ankylosing spondylitis         and systemic lupus erythematosus;     -   c) inhibiting smooth muscle cell proliferation including         vascular proliferative disorders, atherosclerosis and         restenosis;     -   d) treating inflammatory conditions and dermal conditions such         as ulcerative colitis, Crohn's disease, allergic rhinitis, graft         vs. host disease, conjunctivitis, asthma, ARDS, Behcets disease,         transplant rejection, uticaria, allergic dermatitis, alopecia         greata, scleroderma, exanthema, eczema, dermatomyositis, acne,         diabetes, systemic lupus erythematosis, Kawasaki's disease,         multiple sclerosis, emphysema, cystic fibrosis and chronic         bronchitis;     -   e) treating endometriosis, uterine fibroids, dysfunctional         uterine bleeding and endometrial hyperplasia;     -   f) treating ocular vascularisation including vasculopathy         affecting retinal and choroidal vessels;     -   g) treating a cardiac dysfunction;     -   h) inhibiting immunosuppressive conditions such as the treatment         of HIV infections;     -   i) treating renal dysfunction;     -   j) suppressing endocrine disorders;     -   k) inhibiting dysfunction of gluconeogenesis;     -   l) treating a neuropathology for example Parkinson's disease or         a neuropathology that results in a cognitive disorder, for         example, Alzheimer's disease or polyglutamine related neuronal         diseases;     -   m) treating psychiatric disorders for example schizophrenia,         bipolar disorder, depression, anxiety and psychosis;     -   n) inhibiting a neuromuscular pathology, for example,         amylotrophic lateral sclerosis;     -   o) treating spinal muscular atrophy;     -   p) treating other pathologic conditions amenable to treatment by         potentiating expression of a gene;     -   q) enhancing gene therapy;     -   r) inhibiting adipogenesis;     -   s) treating parasitosis such as malaria.

Hence, the present invention discloses the compounds of formula (I) for use as a medicine as well as the use of these compounds of formula (I) for the manufacture of a medicament for treating one or more of the above-mentioned conditions.

The compounds of formula (I), the pharmaceutically acceptable acid addition salts and stereoisomeric forms thereof can have valuable diagnostic properties in that they can be used for detecting or identifying a HDAC in a biological sample comprising detecting or measuring the formation of a complex between a labelled compound and a HDAC.

The detecting or identifying methods can use compounds that are labelled with labelling agents such as radioisotopes, enzymes, fluorescent substances, luminous substances, etc. Examples of the radioisotopes include ¹²⁵I, ¹³¹I, ³H and ¹⁴C. Enzymes are usually made detectable by conjugation of an appropriate substrate which, in turn catalyses a detectable reaction. Examples thereof include, for example, beta-galactosidase, beta-glucosidase, alkaline phosphatase, peroxidase and malate dehydrogenase, preferably horseradish peroxidase. The luminous substances include, for example, luminol, luminol derivatives, luciferin, aequorin and luciferase.

Biological samples can be defined as body tissue or body fluids. Examples of body fluids are cerebrospinal fluid, blood, plasma, serum, urine, sputum, saliva and the like.

In view of their useful pharmacological properties, the subject compounds may be formulated into various pharmaceutical forms for administration purposes. To prepare the pharmaceutical compositions of this invention, an effective amount of a particular compound, in base or acid addition salt form, as the active ingredient is combined in intimate admixture with a pharmaceutically acceptable carrier, which carrier may take a wide variety of forms depending on the form of preparation desired for administration. These pharmaceutical compositions are desirably in unitary dosage form suitable, preferably, for administration orally, rectally, percutaneously, or by parenteral injection. For example, in preparing the compositions in oral dosage form, any of the usual pharmaceutical media may be employed, such as, for example, water, glycols, oils, alcohols and the like in the case of oral liquid preparations such as suspensions, syrups, elixirs and solutions; or solid carriers such as starches, sugars, kaolin, lubricants, binders, disintegrating agents and the like in the case of powders, pills, capsules and tablets.

Because of their ease in administration, tablets and capsules represent the most advantageous oral dosage unit form, in which case solid pharmaceutical carriers are obviously employed. For parenteral compositions, the carrier will usually comprise sterile water, at least in large part, though other ingredients, to aid solubility for example, may be included. Injectable solutions, for example, may be prepared in which the carrier comprises saline solution, glucose solution or a mixture of saline and glucose solution. Injectable suspensions may also be prepared in which case appropriate liquid carriers, suspending agents and the like may be employed. In the compositions suitable for percutaneous administration, the carrier optionally comprises a penetration enhancing agent and/or a suitable wetting agent, optionally combined with suitable additives of any nature in minor proportions, which additives do not cause a significant deleterious effect to the skin. Said additives may facilitate the administration to the skin and/or may be helpful for preparing the desired compositions. These compositions may be administered in various ways, e.g., as a transdermal patch, as a spot-on or as an ointment.

It is especially advantageous to formulate the aforementioned pharmaceutical compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form as used in the specification and claims herein refers to physically discrete units suitable as unitary dosages, each unit containing a predetermined quantity of active ingredient, calculated to produce the desired therapeutic effect, in association with the required pharmaceutical carrier. Examples of such dosage unit forms are tablets (including scored or coated tablets), capsules, pills, powder packets, wafers, injectable solutions or suspensions, teaspoonfuls, tablespoonfuls and the like, and segregated multiples thereof.

Those skilled in the art could easily determine the effective amount from the test results presented hereinafter. In general it is contemplated that a therapeutically effective amount would be from 0.005 mg/kg to 100 mg/kg body weight, and in particular from 0.005 mg/kg to 10 mg/kg body weight. It may be appropriate to administer the required dose as two, three, four or more sub-doses at appropriate intervals throughout the day. Said sub-doses may be formulated as unit dosage forms, for example, containing 0.5 to 500 mg, and in particular 10 mg to 500 mg of active ingredient per unit dosage form.

As another aspect of the present invention a combination of a HDAC-inhibitor with another anticancer agent is envisaged, especially for use as a medicine, more specifically in the treatment of cancer or related diseases.

For the treatment of the above conditions, the compounds of the invention may be advantageously employed in combination with one or more other medicinal agents, more particularly, with other anti-cancer agents. Examples of anti-cancer agents are:

-   -   platinum coordination compounds for example cisplatin,         carboplatin or oxalyplatin;     -   taxane compounds for example paclitaxel or docetaxel;     -   topoisomerase I inhibitors such as camptothecin compounds for         example irinotecan or topotecan;     -   topoisomerase II inhibitors such as anti-tumour podophyllotoxin         derivatives for example etoposide or teniposide;     -   anti-tumour vinca alkaloids for example vinblastine, vincristine         or vinorelbine;     -   anti-tumour nucleoside derivatives for example 5-fluorouracil,         gemcitabine or capecitabine;     -   alkylating agents such as nitrogen mustard or nitrosourea for         example cyclophosphamide, chlorambucil, carmustine or lomustine;     -   anti-tumour anthracycline derivatives for example daunorubicin,         doxorubicin, idarubicin or mitoxantrone;     -   HER2 antibodies for example trastuzumab;     -   estrogen receptor antagonists or selective estrogen receptor         modulators for example tamoxifen, toremifene, droloxifene,         faslodex or raloxifene;     -   aromatase inhibitors such as exemestane, anastrozole, letrazole         and vorozole;     -   differentiating agents such as retinoids, vitamin D and retinoic         acid metabolism blocking agents (RAMBA) for example accutane;     -   DNA methyl transferase inhibitors for example azacytidine;     -   kinase inhibitors for example flavoperidol, imatinib mesylate or         gefitinib;     -   farnesyltransferase inhibitors;     -   other HDAC inhibitors;     -   inhibitors of the ubiquitin-proteasome pathway for example         Velcade; or     -   Yondelis.

The term “platinum coordination compound” is used herein to denote any tumour cell growth inhibiting platinum coordination compound which provides platinum in the form of an ion.

The term “taxane compounds” indicates a class of compounds having the taxane ring system and related to or derived from extracts from certain species of yew (Taxus) trees.

The term “topoisomerase inhibitors” is used to indicate enzymes that are capable of altering DNA topology in eukaryotic cells. They are critical for important cellular functions and cell proliferation. There are two classes of topoisomerases in eukaryotic cells, namely type I and type II. Topoisomerase I is a monomeric enzyme of approximately 100,000 molecular weight. The enzyme binds to DNA and introduces a transient single-strand break, unwinds the double helix (or allows it to unwind) and subsequently reseals the break before dissociating from the DNA strand. Topoisomerase II has a similar mechanism of action which involves the induction of DNA strand breaks or the formation of free radicals.

The term “camptothecin compounds” is used to indicate compounds that are related to or derived from the parent camptothecin compound which is a water-insoluble alkaloid derived from the Chinese tree Camptothecin acuminata and the Indian tree Nothapodytes foetida.

The term “podophyllotoxin compounds” is used to indicate compounds that are related to or derived from the parent podophyllotoxin, which is extracted from the mandrake plant.

The term “anti-tumour vinca alkaloids” is used to indicate compounds that are related to or derived from extracts of the periwinkle plant (Vinca rosea).

The term “alkylating agents” encompass a diverse group of chemicals that have the common feature that they have the capacity to contribute, under physiological conditions, alkyl groups to biologically vital macromolecules such as DNA. With most of the more important agents such as the nitrogen mustards and the nitrosoureas, the active alkylating moieties are generated in vivo after complex degradative reactions, some of which are enzymatic. The most important pharmacological actions of the alkylating agents are those that disturb the fundamental mechanisms concerned with cell proliferation in particular DNA synthesis and cell division. The capacity of alkylating agents to interfere with DNA function and integrity in rapidly proliferating tissues provides the basis for their therapeutic applications and for many of their toxic properties.

The term “anti-tumour anthracycline derivatives” comprise antibiotics obtained from the fungus Strep. peuticus var. caesius and their derivatives, characterised by having a tetracycline ring structure with an unusual sugar, daunosamine, attached by a glycosidic linkage.

Amplification of the human epidermal growth factor receptor 2 protein (HER 2) in primary breast carcinomas has been shown to correlate with a poor clinical prognosis for certain patients. Trastuzumab is a highly purified recombinant DNA-derived humanized monoclonal IgG1 kappa antibody that binds with high affinity and specificity to the extracellular domain of the HER2 receptor.

Many breast cancers have estrogen receptors and growth of these tumours can be stimulated by estrogen. The terms “estrogen receptor antagonists” and “selective estrogen receptor modulators” are used to indicate competitive inhibitors of estradiol binding to the estrogen receptor (ER). Selective estrogen receptor modulators, when bound to the ER, induces a change in the three-dimensional shape of the receptor, modulating its binding to the estrogen responsive element (ERE) on DNA.

In postmenopausal women, the principal source of circulating estrogen is from conversion of adrenal and ovarian androgens (androstenedione and testosterone) to estrogens (estrone and estradiol) by the aromatase enzyme in peripheral tissues. Estrogen deprivation through aromatase inhibition or inactivation is an effective and selective treatment for some postmenopausal patients with hormone-dependent breast cancer.

The term “antiestrogen agent” is used herein to include not only estrogen receptor antagonists and selective estrogen receptor modulators but also aromatase inhibitors as discussed above.

The term “differentiating agents” encompass compounds that can, in various ways, inhibit cell proliferation and induce differentiation. Vitamin D and retinoids are known to play a major role in regulating growth and differentiation of a wide variety of normal and malignant cell types. Retinoic acid metabolism blocking agents (RAMBA's) increase the levels of endogenous retinoic acids by inhibiting the cytochrome P450-mediated catabolism of retinoic acids.

DNA methylation changes are among the most common abnormalities in human neoplasia. Hypermethylation within the promotors of selected genes is usually associated with inactivation of the involved genes. The term “DNA methyl transferase inhibitors” is used to indicate compounds that act through pharmacological inhibition of DNA methyl transferase and reactivation of tumour suppressor gene expression.

The term “kinase inhibitors” comprises potent inhibitors of kinases that are involved in cell cycle progression and programmed cell death (apoptosis).

The term “farnesyltransferase inhibitors” is used to indicate compounds that were designed to prevent farnesylation of Ras and other intracellular proteins. They have been shown to have effect on malignant cell proliferation and survival.

The term “other HDAC inhibitors” comprises but is not limited to:

-   -   carboxylates for example butyrate, cinnamic acid,         4-phenylbutyrate or valproic acid;     -   hydroxamic acids for example suberoylanilide hydroxamic acid         (SAHA), piperazine containing SAHA analogues, biaryl hydroxamate         A-161906 and its carbozolylether-, tetrahydropyridine- and         tetralone-analogues, bicyclic aryl-N-hydroxycarboxamides,         pyroxamide, CG-1521, PXD-101, sulfonamide hydroxamic acid,         LAQ-824, LBH-589, trichostatin A (TSA), oxamflatin, scriptaid,         scriptaid related tricyclic molecules, m-carboxy cinnamic acid         bishydroxamic acid (CBHA), CBHA-like hydroxamic acids,         trapoxin-hydroxamic acid analogue, CRA-024781, R306465 and         related benzoyl- and heteroaryl-hydroxamic acids, aminosuberates         and malonyldiamides;     -   cyclic tetrapeptides for example trapoxin, apidicin,         depsipeptide, spiruchostatin-related compounds, RedFK-228,         sulfhydryl-containing cyclic tetrapeptides (SCOPs), hydroxamic         acid containing cyclic tetrapeptides (CHAPs), TAN-174s and         azumamides;     -   benzamides for example MS-275 or CI-994, or     -   depudecin.

The term “inhibitors of the ubiquitin-proteasome pathway” is used to identify compounds that inhibit the targeted destruction of cellular proteins in the proteasome, including cell cycle regulatory proteins.

For the treatment of cancer the compounds according to the present invention may be administered to a patient as described above, in conjunction with irradiation. Irradiation means ionising radiation and in particular gamma radiation, especially that emitted by linear accelerators or by radionuclides that are in common use today. The irradiation of the tumour by radionuclides can be external or internal.

The present invention also relates to a combination according to the invention of an anti-cancer agent and a HDAC inhibitor according to the invention.

The present invention also relates to a combination according to the invention for use in medical therapy for example for inhibiting the growth of tumour cells.

The present invention also relates to a combination according to the invention for inhibiting the growth of tumour cells.

The present invention also relates to a method of inhibiting the growth of tumour cells in a human subject which comprises administering to the subject an effective amount of a combination according to the invention.

This invention further provides a method for inhibiting the abnormal growth of cells, including transformed cells, by administering an effective amount of a combination according to the invention.

The other medicinal agent and HDAC inhibitor may be administered simultaneously (e.g. in separate or unitary compositions) or sequentially in either order. In the latter case, the two compounds will be administered within a period and in an amount and manner that is sufficient to ensure that an advantageous or synergistic effect is achieved. It will be appreciated that the preferred method and order of administration and the respective dosage amounts and regimes for each component of the combination will depend on the particular other medicinal agent and HDAC inhibitor being administered, their route of administration, the particular tumour being treated and the particular host being treated. The optimum method and order of administration and the dosage amounts and regime can be readily determined by those skilled in the art using conventional methods and in view of the information set out herein.

The platinum coordination compound is advantageously administered in a dosage of 1 to 500 mg per square meter (mg/m²) of body surface area, for example 50 to 400 mg/m², particularly for cisplatin in a dosage of about 75 mg/m² and for carboplatin in about 300 mg/m² per course of treatment.

The taxane compound is advantageously administered in a dosage of 50 to 400 mg per square meter (mg/m²) of body surface area, for example 75 to 250 mg/m², particularly for paclitaxel in a dosage of about 175 to 250 mg/m² and for docetaxel in about 75 to 150 mg/m² per course of treatment.

The camptothecin compound is advantageously administered in a dosage of 0.1 to 400 mg per square meter (mg/m²) of body surface area, for example 1 to 300 mg/m², particularly for irinotecan in a dosage of about 100 to 350 mg/m² and for topotecan in about 1 to 2 mg/m² per course of treatment.

The anti-tumour podophyllotoxin derivative is advantageously administered in a dosage of 30 to 300 mg per square meter (mg/m²) of body surface area, for example 50 to 250 mg/m², particularly for etoposide in a dosage of about 35 to 100 mg/m² and for teniposide in about 50 to 250 mg/m² per course of treatment.

The anti-tumour vinca alkaloid is advantageously administered in a dosage of 2 to 30 mg per square meter (mg/m²) of body surface area, particularly for vinblastine in a dosage of about 3 to 12 mg/m², for vincristine in a dosage of about 1 to 2 mg/m², and for vinorelbine in dosage of about 10 to 30 mg/m² per course of treatment.

The anti-tumour nucleoside derivative is advantageously administered in a dosage of 200 to 2500 mg per square meter (mg/m²) of body surface area, for example 700 to 1500 mg/m², particularly for 5-FU in a dosage of 200 to 500 mg/m², for gemcitabine in a dosage of about 800 to 1200 mg/m² and for capecitabine in about 1000 to 2500 mg/m² per course of treatment.

The alkylating agents such as nitrogen mustard or nitrosourea is advantageously administered in a dosage of 100 to 500 mg per square meter (mg/m²) of body surface area, for example 120 to 200 mg/m², particularly for cyclophosphamide in a dosage of about 100 to 500 mg/m², for chlorambucil in a dosage of about 0.1 to 0.2 mg/kg, for carmustine in a dosage of about 150 to 200 mg/m², and for lomustine in a dosage of about 100 to 150 mg/m² per course of treatment.

The anti-tumour anthracycline derivative is advantageously administered in a dosage of 10 to 75 mg per square meter (mg/m²) of body surface area, for example 15 to 60 mg/m², particularly for doxorubicin in a dosage of about 40 to 75 mg/m², for daunorubicin in a dosage of about 25 to 45 mg/m², and for idarubicin in a dosage of about 10 to 15 mg/m² per course of treatment.

Trastuzumab is advantageously administered in a dosage of 1 to 5 mg per square meter (mg/m²) of body surface area, particularly 2 to 4 mg/m² per course of treatment.

The antiestrogen agent is advantageously administered in a dosage of about 1 to 100 mg daily depending on the particular agent and the condition being treated. Tamoxifen is advantageously administered orally in a dosage of 5 to 50 mg, preferably 10 to 20 mg twice a day, continuing the therapy for sufficient time to achieve and maintain a therapeutic effect. Toremifene is advantageously administered orally in a dosage of about 60 mg once a day, continuing the therapy for sufficient time to achieve and maintain a therapeutic effect. Anastrozole is advantageously administered orally in a dosage of about 1 mg once a day. Droloxifene is advantageously administered orally in a dosage of about 20-100 mg once a day. Raloxifene is advantageously administered orally in a dosage of about 60 mg once a day. Exemestane is advantageously administered orally in a dosage of about 25 mg once a day.

These dosages may be administered for example once, twice or more per course of treatment, which may be repeated for example every 7, 14, 21 or 28 days.

In view of their useful pharmacological properties, the components of the combinations according to the invention, i.e. the other medicinal agent and the HDAC inhibitor may be formulated into various pharmaceutical forms for administration purposes. The components may be formulated separately in individual pharmaceutical compositions or in a unitary pharmaceutical composition containing both components.

The present invention therefore also relates to a pharmaceutical composition comprising the other medicinal agent and the HDAC inhibitor together with one or more pharmaceutical carriers.

The present invention also relates to a combination according to the invention in the form of a pharmaceutical composition comprising an anti-cancer agent and a HDAC inhibitor according to the invention together with one or more pharmaceutical carriers.

The present invention further relates to the use of a combination according to the invention in the manufacture of a pharmaceutical composition for inhibiting the growth of tumour cells.

The present invention further relates to a product containing as first active ingredient a HDAC inhibitor according to the invention and as second active ingredient an anticancer agent, as a combined preparation for simultaneous, separate or sequential use in the treatment of patients suffering from cancer.

EXPERIMENTAL PART

Hereinafter, the term ‘K₂CO₃’ means potassium carbonate, ‘Na₂CO₃’ means sodium carbonate, ‘CH₂Cl₂’ means dichloromethane, ‘MgSO₄’ means magnesium sulphate, ‘DIPE’ means diisopropyl ether, ‘DIAD’ means bis(1-methylethyl)ester diazenedicarboxylic acid, ‘THF’ means tetrahydrofuran, ‘HOBT’ means 1-hydroxy-1H-benzotriazole, ‘EDC’ means N′-(ethylcarbonimidoyl)-N,N-dimethyl-1,3-propanediamine monohydrochloride, ‘EtOAc’ means ethyl acetate, ‘Et₃N’ means triethylamine, ‘NH₄OH’ means ammonium hydroxide.

A. Preparation of the Intermediates Example A1 a) Preparation of Intermediate 1

A mixture of 2-(1-piperazinyl)-5-pyrimidinecarboxylic acid, ethyl ester (0.0169 mol), (2-phenylethenyl)-boronic acid (0.0169 mol) and 1,4-dioxane-2,5-diol (0.0169 mol) in ethanol (250 ml) was stirred for 2 days at room temperature and then the solvent was evaporated (vacuum). The residue was taken up in CH₂Cl₂ and H₂O and the organic layer was separated, dried (MgSO₄), filtered and the solvent was evaporated. The residue was purified by column chromatography over silica gel (15-40 μm) (eluent: CH₂Cl₂/CH₃OH 97/1). The pure fractions were evaporated, yielding 4 g (61%) of intermediate 1 (M.P.: 128° C.; E-configuration).

b) Preparation of Intermediate 2

Tributylphosphine (0.0039 mol) then DIAD (0.0039 mol) were added dropwise at 5° C. to a solution of intermediate 1 (0.0026 mol) and 1H-isoindole-1,3(2H)-dione (0.0039 mol) in CH₂Cl₂ (50 ml) under N₂ flow. The mixture was stirred at room temperature for 15 hours. Tributylphosphine (0.0039 mol) and DIAD (0.0039 mol) were added at 5° C. The mixture was stirred at room temperature for 24 hours, poured onto ice and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 99/1; 15-40 μm). The pure fractions were collected and the solvent was evaporated, yielding: 0.84 g (52%) of intermediate 2 (M.P.: 50° C.; E-configuration).

c) Preparation of Intermediate 3

A mixture of intermediate 2 (0.0072 mol) and hydrazine monohydrate bromide (0.0021 mol) in ethanol (10 ml) was stirred at 65° C. for 3 hours, then brought to room temperature and filtered. The filtrate was evaporated. The residue was taken up in CH₂Cl₂. The organic layer was washed with H₂O, dried (MgSO₄), filtered, and the solvent was evaporated, yielding: 2.7 g of intermediate 3 (E-configuration).

d) Preparation of Intermediate 4

A solution of acetyl chloride (0.0023 mol) in CH₂Cl₂ (1 ml) was added dropwise at 5° C. to a solution of intermediate 3 (0.0015 mol) and N,N-diethylethanamine (0.0031 mol) in CH₂Cl₂ (13 ml) under N₂ flow. The mixture was stirred at 5° C. for 30 minutes, then stirred at room temperature for 1 hour and 30 minutes. The organic layer was washed with H₂O, dried (MgSO₄), filtered, and the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH/NH₄OH 99/1/0.1; 10 μm). The pure fractions were collected and the solvent was evaporated, yielding 0.33 g (40%) of intermediate 4 (E-configuration).

e) Preparation of Intermediate 5

A mixture of intermediate 4 (0.0007 mol) and lithium hydroxide (0.0015 mol) in THF (25 ml) and H₂O (8 ml) was stirred at room temperature for 15 hours and acidified by HCl 1N. THF was evaporated. The precipitate was filtered, washed with H₂O, then with DIPE and dried, yielding 0.32 g (83%) of intermediate 5 as a hydrochloric acid salt (.HCl) (E-configuration).

f) Preparation of Intermediate 6

EDC (0.0011 mol) and HOBT (0.0011 mol) were added at room temperature to a solution of intermediate 5 (0.0007 mol), O-(tetrahydro-2H-pyran-2-yl)hydroxylamine (0.0011 mol) and N,N-diethylethanamine (0.0022 mol) in CH₂Cl₂/THF (50/50) (40 ml) under N₂ flow. The mixture was stirred at room temperature for 36 hours, poured into H₂O and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated. The residue was crystallized from diethyl ether. The precipitate was filtered off and dried, yielding 0.34 g (92%) of intermediate 6 (M.P.: 198° C.; E-configuration).

Example A2 a) Preparation of Intermediate 7

A mixture of intermediate 3 (0.0026 mol) and lithium hydroxide (0.0039 mol) in THF (30 ml) and H₂O (15 ml) was stirred at room temperature for 15 hours, HCl 1N was added until neutralization. THF was evaporated. The precipitate was filtered, washed with H₂O, then with diethyl ether and dried, yielding: 0.9 g of intermediate 7 (E-configuration).

b) Preparation of Intermediate 8

Na₂CO₃ (0.0076 mol) was added to a mixture of intermediate 7 (0.0025 mol) in THF (30 ml) and H₂O (30 ml). The mixture was stirred for 10 minutes. 1-[[(9H-fluoren-9-ylmethoxy)carbonyl]oxy]-2,5-pyrrolidinedione (0.0025 mol) was added portionwise. The mixture was stirred at room temperature for 18 hours, then cooled to 5° C. HCl 1N was added until neutralization. THF was evaporated. The precipitate was filtered, washed with H₂O, then with diethyl ether and dried, yielding 1.2 g (82%) of intermediate 8 (E-configuration).

c) Preparation of Intermediate 9

HOBT (0.0031 mol) then EDC (0.0031 mol) were added at room temperature to a solution of intermediate 8 (0.002 mol), O-(tetrahydro-2H-pyran-2-yl)hydroxylamine (0.0031 mol) and N,N-diethylethanamine (0.0062 mol) in CH₂Cl₂/THF (50/50) (130 ml). The mixture was stirred at room temperature for 48 hours, poured into H₂O and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated. the residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 98/2; 15-40 μm). The pure fractions were collected and the solvent was evaporated, yielding: 1.07 g (76%) of intermediate 9 (E-configuration).

d) Preparation of Intermediate 10

Piperidine (0.0039 mol) was added to a solution of intermediate 9 (0.0012 mol) in CH₂Cl₂ (25 ml). The mixture was stirred at room temperature for 24 hours. The organic layer was washed with H₂O, dried (MgSO₄), filtered, and the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH/NH₄OH 96/4/0.2; 15-40 μm). The desired fractions were collected and the solvent was evaporated, yielding 0.32 g (56%) of intermediate 10 (E-configuration).

Example A3 a) Preparation of Intermediate 11

Tributylphosphine (0.0047 mol) then DIAD (0.0047 mol) were added at 5° C. to a solution of intermediate 2 (0.0015 mol) and 2,5-pyrrolidinedione (0.0047 mol) in CH₂Cl₂ (30 ml). The mixture was stirred at room temperature for 48 hours. Pyrrolidinedione, tributylphosphine and DIAD were added. The mixture was stirred at room temperature for 15 hours, poured on to ice and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered and the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 99/1; 15-40 μm). The pure fractions were collected and the solvent was evaporated. The obtained residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/EtOAc 80/20; 15-40 μm). The pure fractions were collected and the solvent was evaporated, yielding: 0.55 g (76%) of intermediate 11 (M.P.: 158° C.; E-configuration).

b) Preparation of Intermediate 12

A mixture of intermediate 11 (0.0008 mol) and lithium hydroxide (0.0022 mol) in THF (40 ml) and H₂O (20 ml) was stirred at room temperature for 15 hours, then neutralized with HCl 3N. The precipitate was filtered, washed with H₂O, then with diethyl ether and dried, yielding: 0.26 g (65%) of intermediate 12 (E-configuration).

c) Preparation of Intermediate 13

A mixture of intermediate 12 (0.0005 mol) in acetic acid (4 ml) was stirred at 100° C. for 7 hours. H₂O and ice were added. The precipitate was filtered, washed with H₂O, then with diethyl ether and dried, yielding: 0.22 g (77%) of intermediate 13 (E-configuration) as an acetic acid salt (.CH₃COOH).

d) Preparation of Intermediate 14

HOBT (0.0006 mol) then EDC (0.0006 mol) were added at room temperature to a solution of intermediate 13 (0.0004 mol), O-(tetrahydro-2H-pyran-2-yl)hydroxylamine (0.0006 mol) and N,N-diethylethanamine (0.0017 mol) in CH₂Cl₂/THF (50/50) (30 ml) under N₂ flow. The mixture was stirred at room temperature for 15 hours, poured into H₂O and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH/NH₄OH 99/1/0.1 to 90/10/0.5; 3-5 μm). The pure fractions were collected and the solvent was evaporated, yielding: 0.19 g (83%) of intermediate 14 (E-configuration).

Example A4 a) Preparation of Intermediate 15

Tributylphosphine (0.0031 mol), then DIAD (0.0031 mol) were added dropwise at 5° C. to a solution of intermediate 1 (0.0015 mol) and 4-fluorophenol (0.0031 mol) in CH₂Cl₂ (30 ml) under N₂ flow. The mixture was stirred at room temperature for 15 hours. 4-Fluorophenol (0.0031 mol), tributylphosphine (0.0031 mol) and DIAD (0.0031 mol) were added again. The mixture was stirred at room temperature for 24 hours, poured out into ice water and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated to dryness. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 99/1; 15-40 μm). The desired fractions were collected and the solvent was evaporated. The obtained residue was purified by column chromatography over silica gel (eluent: cyclohexane/EtOAc 75/25; 15-40 μm). The pure fractions were collected and the solvent was evaporated, yielding 0.54 g (72%) of intermediate 15 (oil; E-configuration).

b) Preparation of Intermediate 16

A mixture of intermediate 15 (0.001 mol) and lithium hydroxide (0.0026 mol) in THF (50 ml) and H₂O (25 ml) was stirred at room temperature for 15 hours and acidified with HCl 3N. THF was evaporated. The precipitate was filtered, washed with H₂O, then with diethyl ether and dried, yielding 0.47 g (92%) of intermediate 16 (E-configuration) as a hydrochloric acid salt (.HCl).

c) Preparation of Intermediate 17

HOBT (0.0014 mol) then EDC (0.0014 mol) were added at room temperature to a solution of intermediate 16 (0.0009 mol), O-(tetrahydro-2H-pyran-2-yl)hydroxylamine (0.0014 mol) and N,N-diethylethanamine (0.0038 mol) in CH₂Cl₂/THF (50/50) (60 ml) under N₂ flow. The mixture was stirred for 15 hours, poured into H₂O and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered, and the solvent was evaporated to dryness. The residue was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH/NH₄OH 99/1/0.1 to 90/10/0.5; 3-5 μm). The pure fractions were collected and the solvent was evaporated, yielding: 0.2 g (38%) of intermediate 17 (E-configuration).

Example A5 a) Preparation of Intermediate 18

A mixture of intermediate 2 (0.0011 mol) and lithium hydroxide (0.0023 mol) in THF (30 ml) and H₂O (15 ml) was stirred at room temperature for 15 hours and neutralized with HCl 3N. The precipitate was filtered off and dried, yielding 0.51 g of intermediate 18 (E-configuration).

b) Preparation of Intermediate 19

A mixture of intermediate 18 (0.0019 mol) in acetic acid (15 ml) was stirred at 100° C. for 5 hours, then evaporated to dryness. The residue was taken up in H₂O, then neutralized with K₂CO₃. The precipitate was filtered off, washed with H₂O, then with diethyl ether and dried, yielding 0.8 g (86%) of intermediate 19 (E-configuration).

c) Preparation of Intermediate 20

Thionyl chloride (0.0021 mol) was added dropwise at room temperature to a solution of intermediate 19 (0.0002 mol) in CH₂Cl₂ (4 ml). The mixture was stirred and refluxed for 15 hours, then evaporated to dryness, yielding intermediate 20 as a hydrochloric acid salt (.HCl) (E-configuration).

d) Preparation of Intermediate 21

A solution of intermediate 20 (0.0002 mol) in CH₂Cl₂ (2 ml) was added dropwise at 5° C. to a solution of [2-amino-4-(2-thienyl)phenyl]-1,1-dimethylethyl ester carbamic acid (0.0003 mol) in pyridine (6 ml). The mixture was stirred at room temperature for 15 hours. Pyridine was evaporated. The residue was taken up in CH₂Cl₂. The organic layer was washed with H₂O, dried (MgSO₄), filtered and the solvent was evaporated. The obtained residue (0.2 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 98/2; 15-40 μm). The desired fractions were collected and the solvent was evaporated, yielding: 0.12 g of intermediate 21 (E-configuration).

Example A6 a) Preparation of Intermediate 22

1,4-Dioxane-2,5-diol (0.0093 mol) was added to a solution of [2-(4-fluorophenyl)ethenyl]boronic acid (0.0093 mol) in ethanol (200 ml). 6-(1-piperazinyl)-3-pyridinecarboxylic acid ethyl ester (0.0085 mol) was added. The mixture was stirred at room temperature for 15 hours, then filtered. The filtrate was evaporated. The residue was taken up in EtOAc. The organic layer was washed with saturated sodium chloride, dried (MgSO₄), filtered and the solvent was evaporated. This fraction (3.3 g) was dissolved in diethyl ether. HCl 5-6N (2 ml) was added dropwise at 5° C. The precipitate was filtered, washed with diethyl ether and dried. This fraction (3 g) was taken up in H₂O and K₂CO₃ was added. The mixture was extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered and the solvent was evaporated, yielding: 2.7 g (79%) of intermediate 22 (E-configuration).

b) Preparation of Intermediate 23

Triphenylphosphine (0.006 mol) then DIAD (0.006 mol) were added dropwise at 5° C. to a solution of intermediate 22 (0.004 mol) and 1H-isoindole-1,3(2H)-dione (0.006 mol) in CH₂Cl₂ (80 ml) under N₂ flow. The mixture was stirred at room temperature for 15 hours. 1H-Isoindole-1,3(2H)-dione (0.006 mol), triphenylphosphine (1.5 eq) then DIAD (1.5 eq) were added at 5° C. The mixture was stirred at room temperature for 15 hours, poured out on ice and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered and the solvent was evaporated. This fraction (11.4 g) was purified by column chromatography over silica gel (eluent: cyclohexane/EtOAc 70/30; 15-40 μm). The pure fractions were collected and the solvent was evaporated. This fraction (3.7 g) was taken up in toluene/2-propanol (96/4). The precipitate was filtered off and dried. This fraction (1.2 g, 57%) was crystallized from DIPE/diethyl ether. The precipitate was filtered off and dried, yielding 0.93 g (M.P.: 132° C.; E-configuration) of intermediate 23.

c) Preparation of Intermediate 24

A mixture of intermediate 23 (0.0018 mol) and hydrazine monohydrobromide (0.0056 mol) in ethanol (100 ml) was stirred at 65° C. for 4 hours. ethanol was evaporated. The residue was taken up in CH₂Cl₂. The organic layer was washed with H₂O, dried (MgSO₄), filtered and the solvent was evaporated. This fraction (0.95 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH/NH₄OH 96/4/0.1; 15-40 μm). The pure fractions were collected and the solvent was evaporated, yielding 0.54 g (72%) of intermediate 24 (E-configuration).

d) Preparation of Intermediate 25

Methanesulfonyl chloride (0.0006 mol) was added dropwise at 5° C. to a solution of intermediate 24 (0.0004 mol) and Et₃N (0.0013 mol) in CH₂Cl₂ (10 ml). The mixture was stirred at room temperature for 15 hours. The organic layer was washed with H₂O, dried (MgSO₄), filtered and the solvent was evaporated. This fraction (0.25 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 99/1; 15-40 μm). The pure fractions were collected and the solvent was evaporated, yielding 0.2 g of intermediate 25 (E-configuration).

e) Preparation of Intermediate 26

A mixture of intermediate 25 (0.0003 mol) and lithium hydroxide (0.0018 mol) in THF (18 ml) and H₂O (9 ml) was stirred at room temperature for 24 hours and acidified with HCl 3N. THF was evaporated. The precipitate was filtered, washed with H₂O, then with diethyl ether and dried, yielding 0.11 g of intermediate 26 as a hydrochloric acid salt (.HCl) (E-configuration).

f) Preparation of Intermediate 27

HOBT (0.0003 mol) then EDC (0.0003 mol) were added at room temperature to a solution of intermediate 26 (0.0002 mol), O-(tetrahydro-2H-pyran-2-yl)hydroxylamine (0.0003 mol) and Et₃N (0.0009 mol) in CH₂Cl₂/THF (15 ml). The mixture was stirred at room temperature for 15 hours, poured out into H₂O and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered and the solvent was evaporated. This fraction (0.15 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 98/2; 10 μm). The pure fractions were collected and the solvent was evaporated, yielding 0.07 g (56%) of intermediate 27 (E-configuration).

Example A7 a) Preparation of Intermediate 28

A mixture of intermediate 18 (0.0007 mol) in acetic acid (5 ml) was stirred at 100° C. for 7 hours, then evaporated. The residue was taken up in H₂O. The precipitate was filtered, washed with H₂O, then with diethyl ether and dried, yielding 0.25 g (64%) of intermediate 28 as an acetic acid salt (.CH₃COOH) (E-configuration).

b) Preparation of Intermediate 29

HOBT (0.0006 mol) then EDC (0.0006 mol) were added at room temperature to a solution of intermediate 28 (0.0004 mol), O-(tetrahydro-2H-pyran-2-yl)hydroxylamine (0.0006 mol) and Et₃N (0.0018 mol) in CH₂Cl₂/THF (40 ml). The mixture was stirred at room temperature for 24 hours, then poured out into H₂O and extracted with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered and the solvent was evaporated. This fraction (0.4 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 98/2; 15-40 μm). The pure fractions were collected and the solvent was evaporated. This fraction (0.24 g) was crystallized from DIPE/diethyl ether. The precipitate was filtered off and dried, yielding 0.23 g (92%) of intermediate 29 (E-configuration).

B. Preparation of the Compounds Example B1 Preparation of Compound 1

Trifluoroacetic acid (1.4 ml) was added at 5° C. to a solution of intermediate 6 (0.0005 mol) in CH₃OH (28 ml). The mixture was stirred at room temperature for 48 hours, then evaporated to dryness. The residue was crystallized from acetonitrile/diethyl ether. The precipitate was filtered off and dried, yielding 0.27 g (92%) of compound 1 (M.P.: 166° C.; E-configuration) as a trifluoroacetic acid salt (.0.83CF₃COOH.0.62H₂O).

Example B2 Preparation of Compound 2

A mixture of intermediate 10 (0.0007 mol) in trifluoroacetic acid (1.6 ml) and CH₃OH (32 ml) was stirred at room temperature for 72 hours, then evaporated to dryness. The residue was crystallized from diethyl ether. The precipitate was filtered off and dried, yielding: 0.375 g (87%) of compound 2 (M.P.: 124° C.; E-configuration) as a trifluoroacetic acid salt (.2.11CF₃COOH).

Example B3 Preparation of Compound 3

Trifluoroacetic acid (0.85 ml) was added dropwise at 5° C. to a solution of intermediate 14 (0.0003 mol) in CH₃OH (17 ml). The mixture was stirred at room temperature for 48 hours, then evaporated to dryness. The residue was crystallized from diethyl ether/acetonitrile. The precipitate was filtered off and dried, yielding: 0.15 g (82%) of compound 3 (M.P.: 148° C.; E-configuration) as a trifluoroacetic acid salt (.0.8CF₃COOH.0.84H₂O).

Example B4 Preparation of Compound 4

Trifluoroacetic acid (0.85 ml) was added dropwise at 5° C. to a solution of intermediate 17 (0.0003 mol) in CH₃OH (17 ml). The mixture was stirred at room temperature for 48 hours, then evaporated to dryness. The residue was crystallized from diethyl ether. The precipitate was filtered off and dried, yielding 0.145 g (79%) of compound 4 (M.P.: 115° C.; E-configuration) as a trifluoroacetic acid salt (0.87CF₃COOH.0.79H₂O).

Example B5 Preparation of Compound 5

Trifluoroacetic acid (0.5 ml) was added dropwise at 5° C. to a solution of intermediate 21 (0.0001 mol) in CH₂Cl₂ (3 ml). The mixture was stirred at 5° C. for 2 hours. Ice and water were added. K₂CO₃ was added. The mixture was extracted twice with CH₂Cl₂. The organic layer was separated, dried (MgSO₄), filtered and the solvent was evaporated. The obtained residue (0.15 g) was purified by column chromatography over silica gel (eluent: CH₂Cl₂/CH₃OH 98/2; 15-40 μm). The pure fractions were collected and the solvent was evaporated. This fraction (0.082 g) was crystallized from DIPE/2-propanone. The precipitate was filtered off and dried, yielding 0.072 g (59%) (M.P.: 120° C.; E-configuration) of compound 5.

Example B6 Preparation of Compound 6

Trifluoroacetic acid (0.33 ml) was added dropwise at 5° C. to a solution of intermediate 27 (0.0001 mol) in CH₃OH (7 ml). The mixture was stirred at room temperature for 24 hours, then evaporated till dryness. The residue was crystallized from diethyl ether. The precipitate was filtered off and dried, yielding 0.062 g (88%) (M.P.: 131° C.; E-configuration) of compound 6 as a trifluoroacetic acid salt (0.98CF₃COOH).

Example B7 Preparation of Compound 7

Trifluoroacetic acid (1 ml) was added dropwise at 5° C. to a solution of intermediate 29 (0.0003 mol) in CH₃OH (21 ml). The mixture was stirred at room temperature for 48 hours, then evaporated to dryness. The residue was crystallized from diethyl ether/acetonitrile. The precipitate was filtered off and dried, yielding 0.19 g (86%) (M.P.: 140° C.; E-configuration) of compound 7 as a trifluoroacetic acid salt (0.9CF₃COOH0.84H₂O).

Table F-1 lists the compounds that were prepared according to one of the above Examples.

TABLE F-1 Co. No. 1

0.83CF₃COOH•0.62H₂O Co. No. 2

0.2•11CF₃COOH Co. No. 3

0.8CF₃COOH•0.84H₂O Co. No. 4

0.87CF₃COOH•0.79H₂O Co. No. 5

Co. No. 6

0.98CF₃COOH Co. No. 7

0.9CF₃COOH•0.84H₂O

C. Pharmacological Examples

The in vitro assay for inhibition of histone deacetylase (see example C.1) measures the inhibition of HDAC enzymatic activity obtained with the compounds of formula (I).

Cellular activity of the compounds of formula (I) was determined on A2780 tumour cells using a colorimetric assay for cell toxicity or survival (Mosmann Tim, Journal of Immunological Methods 65: 55-63, 1983) (see example C.2).

The solubility of a compound measures the ability of a compound to stay in solution. In the first method, the ability of a compound to stay in aqueous solution upon dilution (see example C.3.a) is measured. DMSO-stock solutions are diluted with a single aqueous buffer solvent in different consecutive steps. In this method (C.3.a), mixtures are then scanned in the BD Gentest Solubility Scanner for the occurrence of precipitation. In the second method the solubility of a compound at different pH's can be measured with the use of a chemiluminescent nitrogen detector (see example C.3.b).

A drug's permeability expresses its ability to move from one medium into or through another. Specifically its ability to move through the intestinal membrane into the blood stream and/or from the blood stream into the target. Permeability (see example C.4) can be measured through the formation of a filter-immobilized artificial membrane phospholipid bilayer. In the filter-immobilized artificial membrane assay, a “sandwich” is formed with a 96-well microtitre plate and a 96-well filter plate, such that each composite well is divided into two chambers with a donor solution at the bottom and an acceptor solution at the top, separated by a 125 μm micro-filter disc (0.45 μm pores), coated with 2% (wt/v) dodecane solution of dioleoylphosphatidyl-choline, under conditions that multi-lamellar bilayers form inside the filter channels when the system contacts an aqueous buffer solution. The permeability of compounds through this artificial membrane is measured in cm/s. The purpose is to look for the permeation of the drugs through a parallel artificial membrane at 2 different pH's: 4.0 and 7.4. Compound detection is done with UV-spectrometry at optimal wavelength between 250 and 500 nm.

Metabolism of drugs means that a lipid-soluble xenobiotic or endobiotic compound is enzymatically transformed into (a) polar, water-soluble, and excretable metabolite(s). The major organ for drug metabolism is the liver. The metabolic products are often less active than the parent drug or inactive. However, some metabolites may have enhanced activity or toxic effects. Thus drug metabolism may include both “detoxication” and “toxication” processes. One of the major enzyme systems that determine the organism's capability of dealing with drugs and chemicals is represented by the cytochrome P450 monooxygenases, which are NADPH dependent enzymes. Metabolic stability of compounds can be determined in vitro with the use of subcellular human tissue (see example C.5.). Here metabolic stability of the compounds is expressed as % of drug metabolised after 15 minutes incubation of these compounds with microsomes.

It has been shown that a wide variety of anti-tumoral agents activate the p21 protein, including DNA damaging agents and histone deacetylase inhibitors. DNA damaging agents activate the p21 gene through the tumour suppressor p53, while histone deacetylase inhibitors transcriptionally activates the p21 gene via the transcription factor Sp1. Thus, DNA damaging agents activate the p21 promoter through the p53 responsive element while histone deacetylase inhibitors activate the p21 promoter through sp1 sites (located at the −60 bp to +40 bp region relative to the TATA box) both leading to increased expression of the p21 protein. When the p21 promoter in a cells consists of a p21 1300 bp promoter fragment that does not comprise the p53 responsive elements it is accordingly non-responsive to DNA damaging agents.

The capacity of compounds to induce p21 can be evaluated by testing the capacity of compounds to induce p21 as the consequence of HDAC inhibition at the cellular level. The cells can be stably transfected with an expression vector containing a p21 1300 bp promoter fragment that does not comprise the p53 responsive elements and wherein an increase of a reporter gene expression, compared to the control levels, identifies the compound as having p21 induction capacity. The reporter gene is a fluorescent protein and the expression of the reporter gene is measured as the amount of fluorescent light emitted (see example C.6.a.).

The second method is an in vivo method wherein mice are used for screening the pharmaceutical activity of a compound. The above described stably transformed tumour cells can be administered to mice in an amount sufficient to effect production of a tumour. After the tumour cells had sufficient time to form a tumour, a potentially active compound can be administered to the animals and the effect of said compound on the tumour cells is evaluated by measuring the expression of the reporter gene. Incubation with pharmaceutical active compounds will result in an increase of reporter gene expression compared to the control levels (see example C.6.b.)

Specific HDAC inhibitors should not inhibit other enzymes like the abundant CYP P450 proteins. The CYP P450 (E. coli expressed) proteins 3A4, 2D6 en 2C9 convert their specific substrates into a fluorescent molecule. The CYP3A4 protein converts 7-benzyloxy-trifluoromethyl coumarin (BFC) into 7-hydroxy-trifluoromethyl coumarin. The CYP2D6 protein converts 3-[2-(N,N-diethyl-N-methylamino)ethyl]-7-methoxy-4-methylcoumarin (AMMC) into 3-[2-(N,N-diethylamino)ethyl]-7-hydroxy-4-methylcoumarin hydrochloride and the CYP2C9 protein converts 7-Methoxy-4-trifluoromethyl coumarin (MFC) into 7-hydroxy-trifluoromethyl coumarin. Compounds inhibiting the enzymatic reaction will result in a decrease of fluorescent signal (see example C.7).

Example C.1 In Vitro Assay for Inhibition of Histone Deacetylase with Fluorescent-Labelled Substrate

The HDAC Fluorescent Activity Assay/Drug Discovery Kit of Biomol (cat. No: AK-500-0001) was used. The HDAC Fluorescent Activity Assay is based on the Fluor de Lys (Fluorogenic Histone deAcetylase Lysyl) substrate and developer combination. The Fluor de Lys substrate, comprises an acetylated lysine side chain. Deacetylation of the substrate sensitizes the substrate so that, in the second step, treatment with the Fluor de Lys developer produces a fluorophore.

HeLa nuclear extracts (supplier: Biomol) were incubated at 60 μg/ml with 75 μM of substrate. The Fluor de Lys substrate was added in a buffer containing 25 mM Tris, 137 mM NaCl, 2.7 mM KCl and 1 mM MgCl₂.6H₂O at pH 7.4. After 30 min, 1 volume of the developer was added. The fluorophore was excited with 355 nm light and the emitted light (450 nm) was be detected on a fluorometric plate reader.

For each experiment, controls (containing HeLa nuclear extract and buffer), a blank incubation (containing buffer but no HeLa nuclear extract) and samples (containing compound dissolved in DMSO and further diluted in buffer and HeLa nuclear extract) were run in parallel. In first instance, compounds were tested at a concentration of 10⁻⁵M. When the compounds showed activity at 10⁻⁵M, a concentration-response curve was made wherein the compounds were tested at concentrations between 10⁻⁵M and 10⁻⁹M. All sample were tested 4 times. In each test the blank value was subtracted from both the control and the sample values. The control sample represented 100% of substrate deacetylation. For each sample the fluorescence was expressed as a percentage of the mean value of the controls. When appropriate IC₅₀-values (concentration of the drug, needed to reduce the amount of metabolites to 50% of the control) were computed using probit analysis for graded data. Herein the effects of test compounds are expressed as pIC₅₀ (the negative log value of the IC₅₀-value) (see Table F-2).

Example C.2 Determination of Antiproliferative Activity on A2780 Cells

All compounds tested were dissolved in DMSO and further dilutions were made in culture medium. Final DMSO concentrations never exceeded 0.1% (v/v) in cell proliferation assays. Controls contained A2780 cells and DMSO without compound and blanks contained DMSO but no cells. MTT was dissolved at 5 mg/ml in PBS. A glycine buffer comprised of 0.1 M glycine and 0.1 M NaCl buffered to pH 10.5 with NaOH (1N) was prepared (all reagents were from Merck).

The human A2780 ovarian carcinoma cells (a kind gift from Dr. T. C. Hamilton [Fox Chase Cancer Centre, Pennsylvania, USA]) were cultured in RPMI 1640 medium supplemented with 2 mM L-glutamine, 50 μg/ml gentamicin and 10% fetal calf serum. Cells were routinely kept as monolayer cultures at 37° C. in a humidified 5% CO₂ atmosphere. Cells were passaged once a week using a trypsin/EDTA solution at a split ratio of 1:40. All media and supplements were obtained from Life Technologies. Cells were free of mycoplasma contamination as determined using the Gen-Probe Mycoplasma Tissue Culture kit (supplier: BioMérieux).

Cells were seeded in NUNC™ 96-well culture plates (Supplier: Life Technologies) and allowed to adhere to the plastic overnight. Densities used for plating were 1500 cells per well in a total volume of 200 μl medium. After cell adhesion to the plates, medium was changed and drugs and/or solvents were added to a final volume of 200 μl. Following four days of incubation, medium was replaced by 200 μl fresh medium and cell density and viability was assessed using an MTT-based assay. To each well, 25 μl MTT solution was added and the cells were further incubated for 2 hours at 37° C. The medium was then carefully aspirated and the blue MTT-formazan product was solubilized by addition of 25 μl glycine buffer followed by 100 μl of DMSO. The microtest plates were shaken for 10 min on a microplate shaker and the absorbance at 540 nm was measured using an Emax 96-well spectrophotometer (Supplier: Sopachem). Within an experiment, the results for each experimental condition are the mean of 3 replicate wells. For initial screening purposes, compounds were tested at a single fixed concentration of 10⁻⁶ M. For active compounds, the experiments were repeated to establish full concentration-response curves. For each experiment, controls (containing no drug) and a blank incubation (containing no cells or drugs) were run in parallel. The blank value was subtracted from all control and sample values. For each sample, the mean value for cell growth (in absorbance units) was expressed as a percentage of the mean value for cell growth of the control. When appropriate, IC₅₀-values (concentration of the drug, needed to reduce cell growth to 50% of the control) were computed using probit analysis for graded data (Finney, D. J., Probit Analyses, 2^(nd) Ed. Chapter 10, Graded Responses, Cambridge University Press, Cambridge 1962). Herein the effects of test compounds are expressed as pIC₅₀ (the negative log value of the IC₅₀-value) (see Table F-2).

Example C.3 Solubility/Stability

C.3.a. Kinetic Solubility in Aqueous Media

DMSO-stock solutions from 5000-9.8 μM (½ dilutions) are made in DMSO in a 96 well stock solution plate (200 μl per well). After each dilution the samples are mixed. Aliquots of these DMSO solutions (2 μl) are then transferred into 2 other 96 well buffer plates, containing 200 μl per well aqueous buffer. Each of the buffer plates contains either aqueous buffer pH 7.4 or aqueous buffer pH 4.0. After the last dilution the buffer plates are mixed and the samples are stabilized at room temperature for ½ hour. Dilution is done in duplicate for each compound to exclude occasional errors. Mixtures are then scanned in the BD Gentest Solubility Scanner for the occurrence of precipitation. Based on the absence/presence of precipitate in the mixtures the kinetic solubility is calculated by interpolation. Ranking is performed into the 3 classes. Compounds with high solubility obtained a score of 3 and have a solubility higher than or equal to 50 μM. Compounds with medium solubility obtained a score of 2 and have a solubility higher than 10 μM and lower than 50 μM. Compounds with low solubility obtained a score of 1 and for these compounds solubility is lower than or equal to 10 μm.

Four compounds were tested: two had a score of 1 at both pH values in the assay and two had a score of 2 at a pH value of 4.0.

C.3.b. Solubility/Stability at pH 2.3

The solubility of a compound, at pH 2.3, can also be measured with the use of a chemiluminescent nitrogen detector (see Table F-2).

Example C.4 Parallel Artificial Membrane Permeability Analysis

The stock samples (aliquots of 10 μl of a stock solution of 5 mM in 100% DMSO) were diluted in a deep-well or Pre-mix plate containing 2 ml of an aqueous buffer system pH 4 or pH 7.4 (PSR4 System Solution Concentrate (pION)).

Before samples were added to the reference plate, 150 μl of buffer was added to wells and a blank UV-measurement was performed. Thereafter the buffer was discarded and the plate was used as reference plate. All measurements were done in UV-resistant plates (supplier: Costar or Greiner).

After the blank measurement of the reference plate, 150 μl of the diluted samples was added to the reference plate and 200 μl of the diluted samples was added to donorplate 1. An acceptor filter plate 1 (supplier: Millipore, type: MAIP N45) was coated with 4 μl of the artificial membrane-forming solution (1,2-Dioleoyl-sn-Glycer-3-Phosphocholine in Dodecane containing 0.1% 2,6-Di-tert-butyl-4-methylphenol and placed on top of donor plate 1 to form a “sandwich”. Buffer (200 μl) was dispensed into the acceptor wells on the top. The sandwich was covered with a lid and stored for 18 h at room temperature in the dark.

A blank measurement of acceptor plate 2 was performed through the addition of 150 μl of buffer to the wells, followed by an UV-measurement. After the blank measurement of acceptor plate 2 the buffer was discarded and 150 μl of acceptor solution was transferred from the acceptor filter plate 1 to the acceptor plate 2. Then the acceptor filter plate 1 was removed form the sandwich. After the blank measurement of donor plate 2 (see above), 150 μl of the donor solution was transferred from donor plate 1 to donor plate 2. The UV spectra of the donor plate 2, acceptor plate 2 and reference plate wells were scanned (with a SpectraMAX 190). All the spectra were processed to calculate permeability with the PSR4p Command Software. All compounds were measured in triplo. Carbamazepine, griseofulvin, acycloguanosine, atenolol, furosemide, and chlorothiazide were used as standards in each experiment. Compounds were ranked in 3 categories as having a low permeability (mean effect<0.5×10⁻⁶ cm/s; score 1), a medium permeability (1×10⁻⁶ cm/s>mean effect≧0.5×10⁻⁶ cm/s; score 2) or a high permeability (≧1×10⁻⁶ cm/s; score 3).

Example C.5 Metabolic Stability

Sub-cellular tissue preparations were made according to Gorrod et al. (Xenobiotica 5: 453-462, 1975) by centrifugal separation after mechanical homogenization of tissue. Liver tissue was rinsed in ice-cold 0.1 M Tris-HCl (pH 7.4) buffer to wash excess blood. Tissue was then blotted dry, weighed and chopped coarsely using surgical scissors. The tissue pieces were homogenized in 3 volumes of ice-cold 0.1 M phosphate buffer (pH 7.4) using either a Potter-S (Braun, Italy) equipped with a Teflon pestle or a Sorvall Omni-Mix homogeniser, for 7×10 sec. In both cases, the vessel was kept in/on ice during the homogenization process.

Tissue homogenates were centrifuged at 9000×g for 20 minutes at 4° C. using a Sorvall centrifuge or Beckman Ultracentrifuge. The resulting supernatant was stored at −80° C. and is designated ‘S9’.

The S9 fraction can be further centrifuged at 100.000×g for 60 minutes (4° C.) using a Beckman ultracentrifuge. The resulting supernatant was carefully aspirated, aliquoted and designated ‘cytosol’. The pellet was re-suspended in 0.1 M phosphate buffer (pH 7.4) in a final volume of 1 ml per 0.5 g original tissue weight and designated ‘microsomes’.

All sub-cellular fractions were aliquoted, immediately frozen in liquid nitrogen and stored at −80° C. until use.

For the samples to be tested, the incubation mixture contained PBS (0.1M), compound (5 μM), microsomes (1 mg/ml) and a NADPH-generating system (0.8 mM glucose-6-phosphate, 0.8 mM magnesium chloride and 0.8 Units of glucose-6-phosphate dehydrogenase). Control samples contained the same material but the microsomes were replaced by heat inactivated (10 min at 95 degrees Celsius) microsomes. Recovery of the compounds in the control samples was always 100%.

The mixtures were preincubated for 5 min at 37 degrees Celsius. The reaction was started at timepoint zero (t=0) by addition of 0.8 mM NADP and the samples were incubated for 15 min (t=15). The reaction was terminated by the addition of 2 volumes of DMSO. Then the samples were centrifuged for 10 min at 900×g and the supernatants were stored at room temperature for no longer as 24 h before analysis. All incubations were performed in duplo. Analysis of the supernatants was performed with LC-MS analysis. Elution of the samples was performed on a Xterra MS C18 (50×4.6 mm, 5 μm, Waters, US). An Alliance 2790 (Supplier: Waters, US) HPLC system was used. Elution was with buffer A (25 mM ammoniumacetate (pH 5.2) in H₂O/acetonitrile (95/5)), solvent B being acetonitrile and solvent C methanol at a flow rate of 2.4 ml/min. The gradient employed was increasing the organic phase concentration from 0% over 50% B and 50% C in 5 min up to 100% B in 1 min in a linear fashion and organic phase concentration was kept stationary for an additional 1.5 min. Total injection volume of the samples was 25 μl.

A Quattro (supplier: Micromass, Manchester, UK) triple quadrupole mass spectrometer fitted with and ESI source was used as detector. The source and the desolvation temperature were set at 120 and 350° C. respectively and nitrogen was used as nebuliser and drying gas. Data were acquired in positive scan mode (single ion reaction). Cone voltage was set at 10 V and the dwell time was 1 sec.

Metabolic stability was expressed as % metabolism of the compound after 15 min of incubation in the presence of active microsomes

$\left( {E({act})} \right)\left( {{\%\mspace{14mu}{metabolism}} = {{100\%} - {\left( {\left( \frac{{{Total}\mspace{14mu}{Ion}\mspace{14mu}{Current}\mspace{14mu}({TIC})\mspace{14mu}{of}\mspace{14mu}{E({act})}\mspace{14mu}{at}\mspace{20mu} t} = 15}{{{TIC}\mspace{14mu}{of}\mspace{14mu}{E({act})}\mspace{14mu}{at}\mspace{14mu} t} = 0} \right) \times 100} \right).}}} \right.$ Compounds that had a percentage metabolism less than 20% were defined as highly metabolic stable. Compound that had a metabolism between 20 and 70% were defined as intermediately stable and compounds that showed a percentage metabolism higher than 70 were defined as low metabolic stable. Three reference compounds were always included whenever a metabolic stability screening was performed. Verapamil was included as a compound with low metabolic stability (% metabolism=73%). Cisapride was included as a compound with medium metabolic stability (% metabolism 45%) and propanol was included as a compound with intermediate to high metabolic stability (25% metabolism). These reference compounds were used to validate the metabolic stability assay.

Example C.6 p21 Induction Capacity Example C.6.a Cellular Method

A2780 cells (ATCC) were cultivated in RPMI 1640 medium supplemented with 10% FCS, 2 mM L-glutamine and gentamycine at 37° C. in a humidified incubator with 5% CO₂. All cell culture solutions are provided by Gibco-BRL (Gaithersburg, Md.). Other materials are provided by Nunc.

Genomic DNA was extracted from proliferating A2780 cells and used as template for nested PCR isolation of the p21 promoter. The first amplification was performed for 20 cycles at an annealing temperature of 55° C. using the oligonucleotide pair GAGGGCGCGGTGCTTGG and TGCCGCCGCTCTCTCACC with the genomic DNA as template. The resulting 4.5 kb fragment containing the −4551 to +88 fragment relative to the TATA box was re-amplified with the oligonucleotides TCGGGTACCGAGGGCGCGGTGCTTGG and ATACTCGAGTGCCGCCGCTCTCTCACC for 20 cycles with annealing at 88° C. resulting in a 4.5 kb fragment and subsequently with the oligonucleotide pair TCGGGTACCGGTAGATGGGAGCGGATAGACACATC and ATACTCGAGTGCCGCCGCTCTCTCACC for 20 cycles with annealing at 88° C. resulting in a 1.3 kb fragment containing the −1300 to +88 fragment relative to the TATA box. The restriction sites XhoI and KpnI present in the oligonucleotides (underlined sequence) were used for subcloning.

The luciferase reporter was removed from the pGL3-basic and replaced by the ZsGreen reporter (from the pZsGreen1-N1 plasmid) at KpnI and XbaI restriction sites. pGL3-basic-ZsGreen-1300 was constructed via insertion of the above mentioned 1.3 kb fragment of the human p21 promoter region into pGL3-basic-ZsGreen at the XhoI and KpnI sites. All restriction enzymes are provided by Boehringer Manheim (Germany). A2780 cells were plated into a 6-well plate at a density of 2×10⁵ cells, incubated for 24 hours, and transfected with 2 μg of pGL3-basic-ZsGreen-1300 and 0.2 μg of pSV2neo vector by using Lipofectamine 2000 (Invitrogen, Brussels, Belgium) as described by manufacturer. The transfected cells were selected for 10 days with G418 (Gibco-BRL, Gaithersburg, Md.) and single cell suspensions were grown. After three weeks, single clones were obtained.

The A2780 selected clones were expanded and seeded at 10000 cells per well into 96-well plates. 24 hours after seeding, the cells were treated for an additional 24 hours with compounds (affecting sp1 sites in the proximal p21 promoter region). Subsequently, cells were fixed with 4% PFA for 30′ and counterstained with Hoechst dye. The p21 promoter activation leading to ZsGreen production and thus fluorescence, was monitored by the Ascent Fluoroskan (Thermo Labsystems, Brussels, Belgium).

For each experiment, controls (containing no drug) and a blank incubation (containing no cells or drugs) were run in parallel. The blank value was subtracted from all control and sample values. For each sample, the value for p21 induction was expressed as the percentage of the value for p21 present in the control. Percentage induction higher than 130% was defined as significant induction.

Example C.6.b In Vivo Method

A selected clone was injected subcutaneous (10⁷ cells/200 μl) into the flank of nude mice and a caliper measurable tumour was obtained after 12 days. From day 12 on, animals were dosed, orally or intraveinally, daily during 6 days with solvent and 20-40 mpk compound (4-10 animals each). Tumours were evaluated for fluorescence by the in-house developed Automated Whole Body Imaging System (Fluorescent stereomicroscope type Olympus® SZX12 equipped with a GFP filter and coupled to a CCD camera type JAI®CV-M90 controlled by a software package based on the IMAQ Vision Software from National Instruments®). As reference, compound R306465 (WO03/76422) was used. Compounds were ranked as inactive (no fluorescence measurable), weaker, identical or better than R306465.

Example C.7 P450 Inhibiting Capacity

All compounds tested were dissolved in DMSO (5 mM) and a further dilution to 5 10⁻⁴ M was made in acetonitrile. Further dilutions were made in assay buffer (0.1M NaK phosphate buffer pH 7.4) and the final solvent concentration was never higher than 2%.

The assay for the CYP3A4 protein comprises per well 15 pmol P450/mg protein (in 0.01M NaKphosphate buffer+1.15% KCl), an NADPH generating system (3.3 mM Glucose-6-phosphate, 0.4 U/ml Glucose-6-phosphate dehydrogenase, 1.3 mM NADP and 3.3 mM MgCl₂.6H₂O in assay buffer) and compound in a total assay volume of 100 μl. After a 5 min pre-incubation at 37° C. the enzymatic reaction was started with the addition of 150 μM of the fluorescent probe substrate BFC in assay buffer. After an incubation of 30 minutes at room temperature the reaction was terminated after addition of 2 volumes of acetonitrile. Fluorescent determinations were carried out at an excitation wavelength of 405 nm and an emission wavelength of 535 nm. Ketoconazole (IC₅₀-value=3×10⁻⁸M) was included as reference compound in this experiment. The assay for the CYP2D6 protein comprises per well 6 pmol P450/mg protein (in 0.01M NaKphosphate buffer+1.15% KCl), an NADPH generating system (0.41 mM Glucose-6-phosphate, 0.4 U/ml Glucose-6-phosphate dehydrogenase, 0.0082 mM NADP and 0.41 mM MgCl₂.6H₂O in assay buffer) and compound in a total assay volume of 100 μl. After a 5 min pre-incubation at 37° C. the enzymatic reaction was started with the addition of 3 μM of the fluorescent probe substrate AMMC in assay buffer. After an incubation of 45 minutes at room temperature the reaction was terminated after addition of 2 volumes of acetonitrile. Fluorescent determinations were carried out at an excitation wavelength of 405 nm and an emission wavelength of 460 nm. Quinidine (IC₅₀-value<5×10⁻⁸M) was included as reference compound in this experiment.

The assay for the CYP2C9 protein comprises per well 15 pmol P450/mg protein (in 0.01M NaKphosphate buffer+1.15% KCl), an NADPH generating system (3.3 mM Glucose-6-phosphate, 0.4 U/ml Glucose-6-phosphate dehydrogenase, 1.3 mM NADP and 3.3 mM MgCl₂.6H₂O in assay buffer) and compound in a total assay volume of 100 μl. After a 5 min pre-incubation at 37° C. the enzymatic reaction was started with the addition of 200 μM of the fluorescent probe substrate MFC in assay buffer. After an incubation of 30 minutes at room temperature the reaction was terminated after addition of 2 volumes of acetonitrile. Fluorescent determinations were carried out at an excitation wavelength of 405 nm and an emission wavelength of 535 nm. Sulfaphenazole (IC₅₀-value=6.8×10⁻⁷M) was included as reference compound in this experiment.

For initial screening purposes, compounds were tested at a single fixed concentration of 1×10⁻⁵ M. For active compounds, the experiments were repeated to establish full concentration-response curves. For each experiment, controls (containing no drug) and a blank incubation (containing no enzyme or drugs) were run in parallel. All compounds were assayed in quadruplicate. The blank value was subtracted from all control and sample values. For each sample, the mean value of P450 activity of the sample (in relative fluorescence units) was expressed as a percentage of the mean value of P450 activity of the control. Percentage inhibition was expressed as 100% minus the mean value of P450 activity of the sample. When appropriate, IC₅₀-values (concentration of the drug, needed to reduce P450 activity to 50% of the control) were calculated.

Table F-2: lists the results of the compounds that were tested according to Examples C.1, C.2, and C.3.b (a blank indicates no value is available for the relevant compound)

TABLE F-2 Enzymatic Cellular Solubility Com- activity activity C.3.b. pound pIC50 pIC50 pH = 2.3 No. C.1 C.2 (mg/ml) 6 7.0 5.3 4 7.3 5.8 3 7.5 5.1 1 8.2 6.4 2.4 2 8.2 7.1 3.1

D. Composition Example Film-Coated Tablets

Preparation of Tablet Core

A mixture of 100 g of a compound of formula (I), 570 g lactose and 200 g starch is mixed well and thereafter humidified with a solution of 5 g sodium dodecyl sulphate and 10 g polyvinyl-pyrrolidone in about 200 ml of water. The wet powder mixture is sieved, dried and sieved again. Then there is added 100 g microcrystalline cellulose and 15 g hydrogenated vegetable oil. The whole is mixed well and compressed into tablets, giving 10.000 tablets, each comprising 10 mg of a compound of formula (I).

Coating

To a solution of 10 g methyl cellulose in 75 ml of denaturated ethanol there is added a solution of 5 g of ethyl cellulose in 150 ml of dichloromethane. Then there are added 75 ml of dichloromethane and 2.5 ml 1,2,3-propanetriol 10 g of polyethylene glycol is molten and dissolved in 75 ml of dichloromethane. The latter solution is added to the former and then there are added 2.5 g of magnesium octadecanoate, 5 g of polyvinyl-pyrrolidone and 30 ml of concentrated colour suspension and the whole is homogenated. The tablet cores are coated with the thus obtained mixture in a coating apparatus. 

The invention claimed is:
 1. A compound of formula (I)

N-oxide forms, pharmaceutically acceptable addition salts and stereo-chemically isomeric forms thereof, wherein X is CH; R¹ is hydroxy or a radical of formula (a-1)

wherein R⁴ is hydroxy or amino; R⁵ is hydrogen, thienyl, furanyl, or phenyl and each thienyl, furanyl, or phenyl is optionally substituted with one or two halo, amino, nitro, cyano, hydroxy, phenyl, C₁₋₆alkyl, (diC₁₋₆alkyl)amino, C₁₋₆alkyloxy, phenylC₁₋₆alkyloxy, hydroxyC₁₋₆alkyl, C₁₋₆alkyloxycarbonyl, hydroxycarbonyl, C₁₋₆alkylcarbonyl, polyhaloC₁₋₆alkyloxy, polyhaloC₁₋₆alkyl, C₁₋₆alkylsulfonyl, hydroxycarbonylC₁₋₆alkyl, C₁₋₆alkylcarbonylamino, aminosulfonyl, aminosulfonylC₁₋₆alkyl, isoxazolyl, aminocarbonyl, phenylC₂₋₆alkenyl, phenylC₃₋₆alkynyl, or pyridinylC₃₋₆alkynyl; R⁶, R⁷, and R⁸ are each independently hydrogen, amino, nitro, furanyl, halo, C₁₋₆alkyl, C₁₋₆alkyloxy, trifluoromethyl, thienyl, phenyl, C₁₋₆alkylcarbonylamino, aminocarbonylC₁₋₆alkyl or —C≡C—CH₂—R⁹; wherein R⁹ is hydrogen, C₁₋₆alkyl, hydroxy, amino, or C₁₋₆alkyloxy; R² is amino, C₁₋₆alkylamino, arylC₁₋₆alkylamino, C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino, C₃₋₇cycloalkylamino, C₃₋₇cycloalkylC₁₋₆alkylamino, glutarimidyl, maleimidyl, phthalimidyl, succinimidyl, hydroxy, C₁₋₆alkyloxy, or phenyloxy wherein the phenyl moiety in said phenyloxy group is optionally substituted with one or two substituents each independently selected from the group consisting of halo, C₁₋₆alkyl, C₁₋₆alkyloxy, cyano, C₁₋₆alkyloxycarbonyl, and trifluoromethyl; R³ is phenyl, naphthalenyl, or heterocyclyl; wherein each of said phenyl or naphthalenyl groups is optionally substituted with one or two substituents each independently selected from the group consisting of halo, C₁₋₆alkyl, C₁₋₆alkyloxy, polyhaloC₁₋₆alkyl, aryl, hydroxy, cyano, amino, C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino, hydroxycarbonyl, C₁₋₆alkyloxycarbonyl, hydroxyC₁₋₆alkyl, C₁₋₆alkyloxymethyl, aminomethyl, C₁₋₆alkylaminomethyl, C₁₋₆alkylcarbonylaminomethyl, C₁₋₆alkylsulfonylaminomethyl, aminosulfonyl, C₁₋₆alkylaminosulfonyl and heterocyclyl; aryl is phenyl or naphthalenyl; wherein each of said phenyl or naphthalenyl groups is optionally substituted with one or two substituents each independently selected from the group consisting of halo, C₁₋₆alkyl, C₁₋₆alkyloxy, trifluoromethyl, cyano and hydroxycarbonyl; and heterocyclyl is furanyl, thienyl, pyrrolyl, pyrrolinyl, pyrrolidinyl, dioxolyl, oxazolyl, thiazolyl, imidazolyl, imidazolinyl, imidazolidinyl, pyrazolyl, pyrazolinyl, pyrazolidinyl, isoxazolyl, isothiazolyl, oxadiazolyl, triazolyl, thiadiazolyl, pyranyl, pyridinyl, piperidinyl, dioxanyl, morpholinyl, dithianyl, thiomorpholinyl, pyridazinyl, pyrimidinyl, pyrazinyl, piperazinyl, triazinyl, trithianyl, indolizinyl, indolyl, indolinyl, benzofuranyl, benzothiophenyl, indazolyl, benzimidazolyl, benzthiazolyl, purinyl, quinolizinyl, quinolinyl, cinnolinyl, phthalazinyl, quinazolinyl, quinoxalinyl or naphthyridinyl; wherein each of said heterocyclyl groups is optionally substituted with one or two substituents each independently selected from the group consisting of halo, C₁₋₆alkyl, C₁₋₆alkyloxy, cyano, amino, and mono- or di(C₁₋₄alkyl)amino.
 2. A compound according to claim 1 wherein: a) X is CH; b) R¹ is hydroxy; c) R² is amino, C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino, phthalimidyl, succinimidyl or phenyloxy wherein the phenyl moiety in said phenyloxy group is optionally substituted with a halo substituent; and d) R³ is phenyl optionally substituted with one or two substituents each independently selected from the group consisting of halo, C₁₋₆alkyl, C₁₋₆alkyloxy, and polyhaloC₁₋₆alkyl.
 3. A compound according to claim 1 wherein: a) X is CH; b) R¹ is hydroxy; c) R² is amino; and d) R³ is phenyl optionally substituted with one substituent selected from the group consisting of halo and C₁₋₆alkyloxy.
 4. The compound that is as shown below:


5. A pharmaceutical composition comprising pharmaceutically acceptable carriers and as an active ingredient a therapeutically effective amount of a compound as claimed in claim
 1. 6. A method of treating ovarian carcinoma in a subject comprising administering to the subject a therapeutically effective amount of a pharmaceutical composition comprising a compound of claim 1 and a pharmaceutically acceptable carrier.
 7. A pharmaceutical composition comprising a compound as claimed in claim 1 and an anti-cancer agent.
 8. A process for preparing a compound as claimed in claim 1, said process comprising the steps of: a) reacting an intermediate of formula (II) with an appropriate acid to form a compound of formula (I-a)

b) reacting an intermediate of formula (III) wherein M represents hydrogen or an alkali metal, with an intermediate of formula (IV) to form a compound of formula (I-b)


9. A compound of the following formula:

in which Q is C₁₋₂alkyloxycarbonyl, MO₂C (in which M is hydrogen or an alkali metal) or tetrahydropyranyloxyaminocarbonyl, R^(2a) is as defined for R² or alternatively is hydroxymethyl; X is CH; R² is amino, C₁₋₆alkylamino, arylC₁₋₆alkylamino, C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino, C₃₋₇cycloalkylamino, C₃₋₇cycloalkylC₁₋₆alkyamino, glutarimidyl, maleimidyl, phthalimidyl, succinimidyl, hydroxy, C₁₋₆alkyloxy, phenyloxy wherein the phenyl moiety in said phenyloxy group is optionally substituted with one or two substituents each independently selected from the group consisting of halo, C₁₋₆alkyl, C₁₋₆alkyloxy, cyano, C₁₋₆alkyloxycarbonyl and trifluoromethyl; R³ is phenyl, naphthalenyl, or heterocyclyl; wherein each of said phenyl or naphthalenyl groups is optionally substituted with one or two substituents each independently selected from the group consisting of halo, C₁₋₆alkyl, C₁₋₆alkyloxy, polyhaloC₁₋₆alkyl, aryl, hydroxy, cyano, amino, C₁₋₆alkylcarbonylamino, C₁₋₆alkylsulfonylamino, hydroxycarbonyl, C₁₋₆alkyloxycarbonyl, hydroxyC₁₋₆alkyl, C₁₋₆alkyloxymethyl, aminomethyl, C₁₋₆alkylaminomethyl, C₁₋₆alkylcarbonylaminomethyl, C₁₋₆alkylsulfonylaminomethyl, aminosulfonyl, C₁₋₆ alkylaminosulfonyl and heterocyclyl; aryl is phenyl or naphthalenyl; wherein each of said phenyl or naphthalenyl groups is optionally substituted with one or two substituents each independently selected from the group consisting of halo C₁₋₆alkyl, C₁₋₆alkyloxy, trifluoromethyl, cyano, and hydroxycarbonyl; and heterocyclyl is furanyl, thienyl, pyrrolyl, pyrrolinyl, pyrrolidinyl, dioxolyl, oxazolyl, thiazolyl, imidazolyl, imidazolinyl, imidazolidinyl, pyrazolyl, pyrazolinyl, pyrazolidinyl, isoxazolyl, isothiazolyl, oxadiazolyl, triazolyl, thiadiazolyl, pyranyl, pyridinyl, piperidinyl, dioxanyl, morpholinyl, dithianyl, thiomorpholinyl, pyridazinyl, pyrimidinyl, pyrazinyl, piperazinyl, triazinyl, trithianyl, indolizinyl, indolyl, indolinyl, benzofuranyl, benzothiophenyl, indazolyl, benzimidazolyl, benzthiazolyl, purinyl, quinolizinyl, quinolinyl, cinnolinyl, phthlazinyl, quinazolinyt, quinoxalinyl or naphthyridinyl; wherein each of said heterocyclyl groups is optionally substituted with one or two substituents each independently selected from the group consisting of halo, C₁₋₆alkyl, C₁₋₆alkyloxy, cyano, amino and mono- or di(C₁₋₄alkyl)amino; and the N-oxide forms, the pharmaceutically acceptable addition salts and the stereo-chemically isomeric forms thereof.
 10. A process for preparing the compound of claim 9, said process comprising the steps of: a) reacting an intermediate of formula (III) with an intermediate of formula (V) to form an intermediate of formula (II) below

b) reacting an intermediate of formula (VI) with an appropriate acidic solution or an appropriate alkali metal base, to form an intermediate of formula (III) below

c) reacting an intermediate of formula (X) with diisopropyl azodicarboxylate (DIAD), tri-n-butylphosphine (PBu₃) and an appropriate nucleophile R²-H (XI) to form an intermediate of formula (VI) below

d) reacting an intermediate of formula (XII) with 1,4-dioxane-2,5-diol and an appropriate boronic acid of formula (XV), wherein R³ is as defined above to form an intermediate of formula (X) below


11. A pharmaceutical composition comprising pharmaceutically acceptable carriers and as an active ingredient a therapeutically effective amount of a compound as claimed in claim
 2. 12. A pharmaceutical composition comprising pharmaceutically acceptable carriers and as an active ingredient a therapeutically effective amount of a compound as claimed in claim
 3. 13. A pharmaceutical composition comprising pharmaceutically acceptable carriers and as an active ingredient a therapeutically effective amount of a compound as claimed in claim
 4. 14. A pharmaceutical composition comprising pharmaceutically acceptable carriers and as an active ingredient a therapeutically effective amount of a compound as claimed in claim
 9. 